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SAN JOAQUIN COUNTY <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />HEALTH & SAFETY CODE 25180.7 <br />A. EMERGENCY LEVEL: I) II III <br />(Circle One) <br />B. SOURCE OF INFORMATION <br />Original Source: 14rjhA <br />Reporting Agency Name: Som i LIn (/,i it <br />Agency Contact: Ctnr < yk,±- <br />Address: E,ox ,2007 r -f„• qo),, <br />C. LOCATION AND DATE OF DISCHARGE <br />PHS -EH LOG # 20 —W3 <br />Telephone: (2QCy 1 `1a-34!yQ <br />Telephone: Qrgj y <br />Location: 1 bh`I S R ” F / �,-1r)C K4,,,j ('Q <br />(Best Physical Description) (City or County) <br />Date of Discharge: GN F , ctA)r j <br />Date Notified: 1/2 y 90 Time: <br />D. RESPONSIBLE PERSON/I3USINESS <br />Name of Business <br />Contact Person: C'Grrr( ncurJ Telephone: (2LI?) 22aL—L22 <br />Physical Address: _160el S /3 S`f' �{ f�,,, C -71f <br />E. DESCRIPTION <br />Type Release: <br />Volume: <br />Chemicals:a ad/i,� � <br />F. ACTION TAKEN <br />EH 22 03 (Rev. 7/89) ' <br />