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`1 SAN JOAQUIN COUNTY_-,, i v <br /> NOTIFICAATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 ,O v <br /> . c c <br /> A EMERGENCY LEVEL II III PHS-EH LOG # 97 �V <br /> Q'` (Circle One) <br /> _..-B. ~: SOURCE OF INFORMATION <br /> C41 tV�4tr Labs -Sa.l Ow V5 <br /> Original Source: Ta., R•?.wa, s.i.PNs . Telephone: ( ldq ) `/6C- 3�yZo <br /> Reporting Agency Name: Sx. Jncyj,,, PAbli Ngc.Wl Services <br /> Agency Contact: Clarkes PfA, - Telephone: 2-dq WF--"We <br /> Address: f60t E:' Yei?.elfr)—• Ave StDcKfa CA 95za7 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location //ffo %i&5f St / � G1�Ci <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: tfk ►4 <br /> Date Notified: '7/2e be Time: 9s 3d 4m <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> I' Name ofaBusiness -- C4 of sibrk4lo.�, F;t.e DPn'f- <br /> Contact Person: Telephone: 0-o ) 17,w <br /> Physical Address: L//G r- T;csd' Sf- Wepe-A*— G9 X206 <br /> E. DESCRIPTION <br /> Type Release: U AL 6raso/it d -&vr, UGsr <br /> Volume: <br /> Chemicals: C)OeaIIml <br /> F. ACTION TAKEN <br /> atik rernnv�( serf t^f3u1-is trvPnr' Co,�,fctnni�fbN <br /> Aiulurt Clu+( 2X�i'w� Ot^ Ca rtgk'ua�/aN /is rPq�i�r4 f� 4 Ae <br /> T <br /> . 1$' rigAvdy, <br /> EH 22 03 (Rev. 7/89) <br />