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SAN JOAQUIN COUNTY v <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: @ II III PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: DRAT k'fgr -.54at- ©iL CO . Telephone <br /> : <br /> Reporting Agency N me: �ohlic bkl- �- '�erykes' of tCQn ,lw�iwl') �vuvrEc. <br /> Agency Contact: Telephone: ( 2D <br /> Address: q or r) 7t� S <br /> C. LOCATION AND DATE OF DISCHARGE Sforl'a`rr� <br /> Location: 3011 u) &, #0/' - l <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: d1,on <br /> Date Notified: l4/�/9D Time: <br /> T <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business Jhell 01 (11 QM4Le e <br /> Contact Person: %ice_ ( ,� Telephone: <br /> Physical Address: 1390 (�illnJ ?i�S f�rr�cl Cr ifio 9on �wmcore rR 'F462-i] <br /> E. DESCRIPTION <br /> Type Release: ��a�a�/i��i�rrl /1P/o�se /✓c��� P�o� icJGtilo //�iivYiYc ��� i <br /> Volume: _--- <br /> Chemicals: <br /> F. ACTION T N <br /> , �D <br /> EH 22 013 (Rev. 02/90) <br />