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SAN JOAQUIN COUNTY <br /> NOTIFIhTION OF HAZARDOUS WAST�"DISCHARGE . <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: 11 III PHS-EH LOG # �� b <br /> ( cle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: L i M WO TSFI-A Telephone: ( 70,q )c4(oZ-"ZG'-4(P <br /> Reporting Agency Name: Tubb c <br /> Agency Contact: ) c Telephone: <br /> Address:_ _ .11001 F. V1 i fA-nJP y -EE <br /> C. LOCATION AND DATE OF DISCHARGE I <br /> Location: P3�ci (a) <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: 1)n k n 61+m- <br /> Date Notified: _ 4j�� Time: 1 .00 lzny-. <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business Pe-UL 2 L C Z <br /> Contact Person: .11y,4 IA 1 H 07ML-- t-- Telephoner <br /> Physical Address: —-Q"z`I Q NI W-1 4 STY.n_l <br /> E. DESCRIP'T'ION <br /> Type Release: ()A R- -PA LcC r7 C i� 1 m. 4 ( ,rn 41 r rn ad <br /> Volume: I)i1 Ln nr A rn <br /> Chemicals: <br /> F. ACTION TAKEN <br /> r1 AOA 'Zrt-pQCSv__ c�vvtp�i -b 1 11 II Loo r V in ac) in dn�i. <br /> &=nn <br /> T 4-11 nn ,6r 11207m 04 <br /> EH 22 013 (Rev. 02/90) <br />