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r <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL:0 II III PHS-EH LOG 3 <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: r6ri(k', DY I A Telephone: <br /> Reporting Agency Name: So-.11 , l(224:a,-� (,e3(4tkA,1 F;2 �IPr�fFL <br /> Agency Contact: Telephone: (ley <br /> Address: ox 2-007 rim• <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: _j" ; :!! ,"- <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: GN <br /> Date Notified: I/-) ,4ew Time: (0 ,S=/)N <br /> D. RESPONSIBLE PERSONIBUSINESS <br /> Name of Business —r,-j I �r�rNS <br /> Contact Person: ('�-�( ,y Telephone: (2�) <br /> Physical Address: f t C11 S. S Sy— <br /> E. <br /> E. DESCRIPTION <br /> Type Release: __ 04& <br /> Volume: <br /> Chemicals: oG")t5—, <br /> F. ACTION TAKEN -- <br /> PonJ <br /> Le- <br /> EH <br /> EH 22 03 (Rev. 7/89)' <br />