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u <br />SAN JOA ��N COUN'T'Y <br />NOTIFICATION OF HTfAHDOUS WASTE DISCHARGE <br />'( HEALTH 6 SA Y C E 25180.7 <br />A. EMERGENCY LEVEL:01 II III U <br />(Circle One) TH DISTRICT LOG #Film/" <br />B. SOURCE OF INFORMATION <br />g' L',Nc l„ Lam, e Sc�.ol <br />Original Source: , �tsir;ct Telephone: (zo9 ) 4-*; -s-S-8-y- <br />Reporting Agency Name: 5•� So. Z_: Loci N�l+t �;si ;ct <br />Agency Contact: �a ;d Cars Telephone: ( 2oq) 4tj-3yjo <br />Address: Ibo E <br />A <br />9szoi <br />C. LOCATION AND DATE OF DISCHARGE <br />Location: 4+ la,uoo�..11o le.d<d i<I tw,� / S�c6{oma <br />,(Besc Physical Description) (City or County) <br />Date of Discharge: 2�i��fr� <br />Date Notified: 2-11888 Time: <br />D. RESPONSIBLE PERSON/BUSINESS <br />Name of Business L,I col V� �,ed Sc�.ol �;sFr;cT <br />Contact Person: _ -O e. Lo -std• e+ Telephone: <br />Physical Address: CA Cis Z <br />E. DESCRIPTION V <br />Type Release: _�eirol! +-mak ' P taa c No{ed d..19 WCISz,a- 4esl <br />Volume: esdw.kd 2�a.11� 1 <br />Chemicals: �� Icwdcd q.soll 2 <br />F. ACTION TAKEN <br />Mc�J vd '}o O lJt v Q✓ V w ( oYlZcd <br />i i <br />C sSe.ss/� e,. w:11 b..r_ls <br />•Q K�(Yl{ O ` (pM\4++,^t�.pOh 1�r C(QO.n —e. (, 1.+1t JIN Ul:. Icd <br />