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w <br /> SAN 30AQUIN COUNTY k � <br /> NO4�T-ON OF hAZARDQ(JS WAST Lam-= Com. k <br /> F: Al:, - & SAr~-':Y CODE 2-S13C.7 <br /> A. ZMERGEqCY L=-VF--1 V LI 01 PHS- LOG <br /> (C e one) <br /> B. SOURCE OF DiFOELMATrON <br /> Name.,- C 'Ir Phone: � 72 <br /> Company: C <br /> Address: `f <br /> fi <br /> L p <br /> Designated Employee Name: <br /> Reporting Ag=cy Name: `�p <br /> Address: ;� <br /> C. r OCATrON AND DATE OF DISCHARGE <br /> ('des Physical DescziDtion) Cary �=Y C=Cile One <br /> Dare of Djscha--g�= <br /> Late Nodded: <br /> q <br /> D. RESPONSMLE PERSON/BUSINESS , <br /> Name ez Bum s: G Cis .� <br /> Caatart moa: <br /> Physscat Add.---ss: <br /> Mailing Address <br /> i <br /> S. DESCR��ON K <br /> �n <br /> Type cif Disc�*�• i17 C!GI ��� <br /> r <br /> Voiume: 77 <br /> _ <br /> Ci.*c=zances: <br /> F. ACTON TSN <br /> ,i <br /> f <br /> SIi,� DISPOSITION <br /> i� 16 <br /> j <br /> E:-r 22 013 (Rev-4/91) <br /> � i <br />