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40 SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: �I III PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: Telephone: ( 'u-1 Y 7z, <br /> Reporting Agency Name: ' To�Yc> c". /` u S/`•` Ikcl //6 .SC'wlces <br /> Agency Contact: Telephone: Qo-l ) V 7 <br /> Address: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: /S6is s- ftti <br /> (Best Physical Description) (City or County) <br /> Date of Discharge:DateNotified: -ai- yv Time: lof'm <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business <br /> Contact Person: JG nPS Lu.» sfvh Telephone: <br /> Physical Address: /57��s 3fti � v x 9� Larow C9 <br /> E. DESCRIPTION <br /> Type Release: <br /> Volume: <br /> Chemicals: �tso%:ten GP=' rz� �c'v/e�w <br /> F. ACTION TAKEN <br /> es-T LZ. l 7�_ <br /> �G nG-rP n cl exz' 4 o�' Voir 4, sa, i z�.�r Cl•S /gyp ui.-Fc/' �ci <br /> <[i�u cul i c PSC <br /> EH 22 013 (Rev. 02/90) <br />