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SAN JOAQUIN COUNTY <br /> NOTIFIt.,TION OF HAZARDOUS WASTE Dlo,iHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL:011 I1I PHS-EH LOG # <br /> (Circle One) <br /> 11. SOURCE OF INFORMjTION <br /> Name: LA-D o So'L t tJA-rvA S les Phone: CZA I Z- <br /> Company.S58 64wdiffl. v47%cc — 00k 's/+x-, s .� <br /> Address: S"O ft.sr- .3.(:Ecg's X vi=. x/03 9tfWN0. 644 <br /> b <br /> Designated Employee Name:_- Phone: <br /> Reporting Agency Name: <br /> Address: <br /> C. LOCATION AND DATE OF DISCHARTE <br /> Location: ?6S/? Pfef c 4 / 510CA7bN <br /> (Best Physical DesUi 'on) it or County) Circle One <br /> Date of Discharge: ' <br /> Date Notified: 7. 50. 9 1 Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: i C;4 103P*17 4 <br /> Contact Person: �� 15'A /co Telephone: z/ 1. y'z 3P 98 <br /> Physical Address: <br /> Mailing Address: /0000 " 44,e4Fwo,b,0( ' Nd 4- fOzYo <br /> E. DESCRIPTION <br /> Type of Discharge: V71�4sci7tib�t� /QC's fSC <br /> Volume: tJNK " <br /> Chemicals: cr- 3o am B <br /> Circumstances �.�1 '�tEau r-f s '' o7fi $O/t:'T k1M �t arlsr�C6s <br /> -150'e- La tary6 a b NbAW-040Ns a/d Us <br /> F. ACTION TAKEN , <br /> F� S T. <br /> E+Kk4i 0Vje C <br /> t ... <br /> SITE DISPOSITION <br /> _5� he.rnd. nIAL , i.t�rl le �flQ-l'.Sl <br /> 122 013 (Rev.4/91) <br />