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0 SAN JOAQUIN COUNTY ` <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 C 0 (� <br /> A. EMERGENCY LEVEL:011 III PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION �� ' <br /> � Phone: 6*) -782-x2 D <br /> Company: GC ULdaz <br /> Address: /055 .4&-& o , <br /> Designated Employee Name: Ph ne: �) <br /> Reporting Agency Name: <br /> Address: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 3011 d,' Zr7y <br /> (Best Physical Description) Ci or County) Circle One <br /> Date of Discharge: a xA- ja«, <br /> Date Notified: //415795 Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: S-G ee2 J-4-C �5 <br /> Contact Person: ba+� Telephone: (5!O) 67s 6//05 <br /> Physical Address: <br /> Mailing Address: 0 hex oa3 ontCsz� sa <br /> E. DESCRIPTION <br /> Type of Discharge: <br /> Volume: 1-6�� <br /> Chemicals: <br /> Circumstances: <br /> T.,-.4-2- <br /> F, <br /> o.F. ACTION TAKEN <br /> SITE DISPOSITION e <br /> QL�� � QLD d� �ffS-Efi , Doo <br /> EH 22 013 (Rev.4/91) <br />