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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 IIIEH LOG # <br /> (Circle One)B. SOURCE OF INFORMATION c(OPST <br /> Name: S - fbv� /d S Phone: s/o X107 - <br /> Company: AlfGo <br /> Address: t -13 ) !5 L�gRZTo ' G!a gv70 1 <br /> Designated Employee Name: Phone: (zzn) t/69 os33 <br /> Reporting Agency Name: <br /> Address: =/els A/ 'S�4?� <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: t 5f Gl -ILI cP C2 L t- . <br /> (Best Physical Descri tion) (City or�unty� Circle One <br /> Date of Discharge: z6 ot 2 <br /> Date Notified: v R 2 Time: 57 1 o 0.,n-7 <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: A�Lo <br /> Contact Person: Telephone: s10 4/il7- u6 5 <br /> Physical Address: 1 7 3 15 s7 0--g rGEp de /� , G,?F,K R.Z-ros C-4 -to -7 0 [_ <br /> Mailing Address: /"-0. 6 ,�;L/ 4R �i r� G��ya-,=� - 6vi�� <br /> E. DESCRIPTION <br /> Type of Discl uge: 2E��E <br /> Volume: �7 6�4 ZL 0/-I <br /> Chemicals: <br /> Circumstances: ii/l 2 �vi3/+ r7 !3Yc�� Scln.� qs �2F�.s acF <br /> oc 624rot zNF Fec /� /�eS �zc/4 /GnP owl o�Sf�Cn/�<.� <br /> F. ACTION TAKEN O/5L�J,4,e�L w`(S �vP�cp �� -T✓ e�!t N �F� r`G <br /> SITE DISPOSITION ii.B-F= w,45 <br /> T.'FE GF�d,�ii✓/ ���7,e<�' u,.4 5 S6'Z�IG ..2EPi¢ �-,Q�.b o rJ l 26/y 2 <br /> EH 22 013 (Rev.4/91) <br />