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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180 .7 <br /> A. EMERGENCY LEVEL: II III HEALTH DISTRICT LOG # <br /> (Circle One) 0) <br /> B. SOURCE OF INFORMATION <br /> Original Source: `..a4j-t*,i (f eO-174 116(— Telephone: <br /> Reporting Agency Name: _S:62yt'10U. / ,`Sf7►iG�' <br /> Agency Contact: Telephone: C) <br /> Address: A S <br /> C. LOCATION AND DATE OF DISCH GE <br /> Location: /& � / ZF. ek-e)? n e / 57 0 /TJ t1yt <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: p/Lh,th� <br /> Date Notified: �/�3/�p Time: ,��,OyY���y✓ti <br /> �--' D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business ,Q� (:L-ep 7—,h al <br /> Contact Person: &duia,^- r tell)' <br /> Telephone: 5A <br /> Physical Address: Av, Anzi a jl J C f <br /> E. DESCRIPTION ,, _ <br /> Type Release: / C'L Lri/f'�l� 2 1/2-1- r t" <br /> Volume: <br /> Chemicals: Z --P7, P <br /> F. ACTION TAKEN <br /> zfrta <br /> to de zt �- <br /> a c so 1 Scr,"lJo has sho eev, h��` <br />