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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEI.'0 II III PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: (°JI,,,,, do (0, 40&ad Telephone: 3 34 -O 7 96 <br /> Reporting Agency Name: � .+n2 FL"� ?l(S - F- f{. D;61. <br /> Agency Contact: L elephone: (�L <br /> Address: 6 O GA��O , ('fq <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: _6 ('(v E ko Gkv-zn-z d- / "16c, <br /> (Best Physical Descrip n) (City or County) <br /> Date of Discharge: <br /> Date Notified:. YD Time: C-2;64 2M <br /> D. RESPONSIB PERR�S�ONBUSINESS <br /> Name of Business 62�- e-,p <br /> Contact Person: 86u Telephone: ( 209 ) _33 L{ <br /> Physical Address: /0( <br /> E. DESCRIPTION <br /> Type Release: Cion C2w,,i6 <br /> Volume: te�� <br /> Chemicals: T - itM �G�i�llfn�Cliy�py[o <br /> F. ACTION TAKEN <br /> 'W.&I <br /> EH 22 3 (Rev. 7/89)' <br />