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aruv JUA(1U1N COUNTY <br /> NC' TICATION OF HAZARDOUS µ ;TE DISCIIARCE <br /> HEALTH & SAFETY CODz-15180.7 <br /> A. EMERGENCY LEVE..: ,, IlI PHS-f-44--LOG # <br /> (Circle One) �/ <br /> B. SOURCE OP INFORMATION <br /> Original Source: ('� ) du L Telephone: <br /> Reporting Agency Name: So, ✓rcivu,ti 6W4 Public <br /> Agency Contact: L'Au�Gs �' yAti� Telephone: 3WO <br /> Address: y- On9 950 J <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 3L41c S E/ pkv t / �sfnr k fn�l <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: VAA ,ew^y <br /> Date Noted: —Z-1/q(� Time: 2,2_S_Atit <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business Cn 1,4ormc, TaN k I, tie-- _rNG <br /> Contact Person: _14nbrr*f pj;;! Telephone: Qp7 ) <br /> Physical Address: 3105 t" Er <br /> E. DESCRIPTION <br /> Type Release: l / A►2 <br /> Volume: b i ow , <br /> Chemicals: - 4 aW rr./y... Nadio�2 i�/xa <br /> F. ACTION TAKEN <br /> r.fr <br /> l7S`:E�mrs.'f" C_i // fig /-p•i�irr � -fe r./P/rTl+iiNP /771'N .(.4!{.I�v qM.� N'/P.,r¢ <br /> �n�QTaa�r/at <br /> EI-I 22 013 (Rev. 02/90) <br />