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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25160 .7 <br /> A. EMERGENCY LEVEL: IO II III HEALTH DISTRICT LOG #F —o <br /> 3:rt <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: � � Telephone: O 3 <br /> Reporting Agency Name: <br /> Agency Contact: ).M, }�(N � Telephone: (gyp ) 4 _ <br /> Address : ��pQt �7qa£21», i lNC, ' Slrou ) <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: C) <br /> (Best Physical Description) <br /> P (City or County) <br /> Date of Discharge: <br /> Date Notified: uF. �QEl9 <br /> Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business -LEE Ami & <br /> Contact Person: Lo 1n K. ham— Telephone: (zqq) <br /> Physical Address : 2-15 <br /> E. DESCRIPTION <br /> Type Release: 1�p1Pri� CttBiL �,=,,. ns —krr f��yt YFI ) ��liA�a y <br /> 2.Ph.(NA IIIIJK <br /> Volume : <br /> Chemicals : �FsjZOLJ�iw11()1+�lm�S <br /> F. TACTION TAKEN <br /> t�liRl?iffL �rF IkSS"E�ytc{�Ji l)Jtl..� �r n. •.n� � �o � ,p ��-1'E�.�u�.�t <br /> 16' <br /> r <br /> u 1 t <br /> (LEG LII.IFtBAk <br /> V ��TtPii. ,t; <br /> Clk3��1 lS 13 iNb tRtRi'E j4T TthS_NIW_F l�lE N <br />