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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180 .7 <br /> A. EMERGENCY LEVEL: I II III HEALTH DISTRICT LOG # SDS <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: La tt n -e l/� <br /> ott Oct- Telephone: (ate bg-- a() <br /> Reporting Agency Name: Smarr(. , <br /> s <br /> Agency Contact: ���� �O / Gc _ Telephone: (ate) 416 — a0 <br /> Address: / 4�)Q <br /> C. LOCATION AND DATE <br /> , OF DISCHA GE <br /> Location: .16 .3 T -3 <br /> (Best Physical Description) (City or Cou ty) <br /> Date of Discharge: k'Dzon-,, <br /> Date Notified: /�:�f �''� Time: lyto,*4100M--� <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business //�, /�. <br /> Contact Person: r::V 600 r� fP l// Telephone: <br /> Physical Address: <br /> E. DESCRIPTION <br /> Type Release: //�xl. Llcnn <br /> Volume: Gc_ /s YD Q C,�__Y rd1 ��I _P <br /> C <br /> Chemicals: U)Q She_ oz' <br /> F. ACTION TAKEN <br /> Euz 11 p / Cyr <br /> S <br /> c <br />