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SAN JOAQUIN COUNTY <br /> NOTIFICa ION OF HAZARDOUS WASTE uISCH <br /> HEALTH & SAFETY CODE 25180.7 O py <br /> A. EMERGENCY LEVEL: 11 III PHS-EH LOG # 77 <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> bl2vn <br /> Original Source:Source: btcno.*t Sar to 1481 Telephone: (� <br /> Reporting Agency Name: HLA <br /> Agency Contact: QS WO) Telephone: y( 15 ) <br /> Address: (3 5S t11ovv waq Sutk (0c1 CortcdceI 6A ` g5zo <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: qCo 5 G I'd h-I"l I n-t <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: U V,rLoujt I <br /> Date Notified: Time: WE) <br /> T <br /> D. RESPONSIBLE PERSONBUSIN S <br /> hV cj <br /> Name of Business ` ,500 - l s erg <br /> Contact Person: VJ-L+ hU be K-R Telephone: /S 63 - Z f I <br /> Physical Address: 0g ZD r(& 4 Wkat) PW 51)[7k 3/0 - <br /> (easQ►lo.n C cf54,�= <br /> E. DESCRIPTION <br /> Type Release: 66tso ( l r,0- <br /> Volume: UY-LK-Y` )VUtl <br /> Chemicals: <br /> F. ACTION TAKEN <br /> 3 Unc( tjq rvt/r d SI�r��r '(�i►� KS (�lvloy�d 3115�8�T <br /> Pny 1 rog w-en.-f" /assess r► 1 Fy✓lGt�tcc�� <br /> EH 22 013(Rev. 02/90) <br />