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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEarcle <br /> IIG PHS-EH LOG # <br /> One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: <br /> Reporting Agency Name: /7��,///, <br /> Agency Contact: Telephone: <br /> Address: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: his��� >7 ;., / ir�,� , C,4 <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: <br /> Date Notified: Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business //VIC 7/16� <br /> Contact Person: Telephone: <br /> Physical Address: o,,,, CA <br /> E. DESCRIPTION <br /> Type Release: <br /> Volume: I////.e <br /> Chemicals: <br /> F. ACTION TAKEN <br /> .,"/ <br /> EH 22 013 (Rev. 02/90) <br />