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SAN J UAQ WN COUNTY <br /> NOTTVY 'ION OF PL 9- RDOUS W/ --r ISC14ARGE <br /> '-�I-IEALTH & SAFETY CODE <br /> A. EMERGENCY LEVE ; III III PHS-EH LOG # L o <br /> (Circle One) <br /> B. SOURCE OF INFORMATION " <br /> Original Source: S:�&Vgigk Telephone: L� -343q <br /> Reporting Agency Name: : A; A Ga- po&Ll ,- l6E.4'7M --- <br /> Agency Contact: Telephone: <br /> Address: 1-16(q N s54tl 2-940yI N <br /> C. LOCATION AND DATE.OF DISCHARGE <br /> Location: V I ( N- )3AW rt,,4Y <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: VNKNOW- k <br /> Date Notified: ((/S7 Zlqqo Time: �' Z 7 d ag <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business Kl N 6- Ca_ =f? . <br /> Contact Person: 4II46-olw7 Telephone: (zzL-1 ) �/15 - 5l,-7CZ <br /> Physical Address: <br /> E. DESCRIPTION <br /> 7�pe Release: vLL4L-- 4fz:450 IE'cG QSE o i4arv,P /�cd-�G�E t=vEt, <br /> Volume: �i(lxl�vwnl <br /> Chemicals: <br /> �,y t ro�,d GAS v G l/V <br /> F. ACTION TAKEN <br /> /3L- lgr-rw lAia'D Td 44-Tyk-'-, ,c-No <br /> azx�- cotL-114malitzzml A-6 lay -T-EF- <br /> vw�7-a�2K .�G���4,I <br /> EII 22 013 (Rev. 02/90) <br />