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SAN JOAQUIN COUNTY , <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 b� <br /> A. EMERGENCY LEVELS I JII III PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: (;l,eA-oo 2 (zilmI e- Telephone: (?O <br /> Reporting Agency Name: SA- V To AQV(N C _ P l7 [ , PP' I CL S <br /> Agency Contact: r ) v Telephone: ( ) 3`f?-6 <br /> Address: —Ji e?, 6iOx ST7ack7il i✓ G,q- 9 i <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: �Lf 37 5, S 61P� ys 3f S� <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: !/,✓,hoc✓✓ <br /> Date Noticed: Time: ' Oo,�j� <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business :/,4111/ f1 e Al-e5 <br /> Contact Person: d66e 56TL(.oVF2 Telephone: (26 35---b02- <br /> Physical Address: 6 ' S7 f >3 <br /> E. DESCRIPTION <br /> Type Release: �f2G1GGtCP� �LYtgPit Gid q/bcrv�cp sfp/alr2 7 � <br /> Volume: _ �/il/,�Gi4�+/i✓ <br /> Chemicals: <br /> F. ACTION TAKEN <br /> ti ✓ ii✓ <br /> la ' x o ' /W-,Oa <br /> /I iY .92�arr�✓e� fnLt�/-1-2�ius G.�ccs;7�� <br /> 240 <br /> EH 22 03 (Rev. 7/89) <br />