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0 <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: I II III HEALTH DISTRICT LOG # OOa� <br /> (Circle One) / <br /> B. SOURCE OF INFOR14ATION T <br /> Original Source: �;k, CTelephone: (4'6 ) Seb i7oi <br /> Reporting Agency Name: Lo«i 11e,HLL <br /> Agency Contact: Nv�d G>+(s Telephone: ( 2� ) q(8- s4g0 <br /> Address : (bot F . H4e�l�„ Q•o, (3,K 2ooq S 1� l �o� c A 4Szei <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: �Mkho r <br /> Date Notified: 3 ffr/Esr Time: q: 4.h <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business <br /> Contact Person: L . S . Sa�r ;y Telephone: c4` <br /> 0 <br /> Physical Address : Av� c A 9Szo4 <br /> E. DESCRIPTION <br /> Type Release: U„de�9. ^� 1�_1� S�s��— Le. - <br /> Volume: <br /> Chemicals : � � <br /> yL <br /> F. AttCTION TAKEN 1 n \ <br /> �,/N^v�OV �C1U RQ'I Gf+L RC�O1l', + Itd N4��y.t S 1Q%{tn� o� COM{AM.iw�\:Oh � V34 <br /> 6 GTCV'Ly.INC4 YJ t� �Vi{�nW S.Tc O.SS GSS I.v.4.n� � YQ G <br /> pv<✓b«... �iy �2 F'1 Com.�{�. �1S�vicT <br />