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L( <br /> e ' <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180 .7 <br /> A. EMERGENCY LEVEL: O II III HEALTH DISTRICT LOG #O d- O/ <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: 147Vf}1y5/S LAbbel ele]phone: (I �7 <br /> Reporting Agency Name: <br /> Agency Contact: M, Lem Telephone: (y/S) /7ff3— 6' -0 <br /> Address: 3 Z IN VESPO FPJ? 80LALCVAEP'�Sw�P-0 ( 9yr�s <br /> C. LOCATI�QPt AND DATE.� 9�1� DISCHARGE <br /> IVM NEW /y`d"11-n./D r G ' <br /> Location: G �. / jk�N <br /> t( , _I (Best Physical Descrintio ) (City or County) <br /> 44A 4W-0 (1 v► ��t-a vvr•aL /� a�e Jz� <br /> Date of Discharge: G ✓t I<vvio w v, <br /> Date Notified: 02 7 — OD Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business ,ee2 L� � <br /> y Contact Person: C ��s �K - Telephone: (ZOO) <br /> Physical Address : <br /> E. DESCRIPTION <br /> Type Release:- 1't �. � . �'�1c� �Ze 7 �� e-e% SC— So�L a GJ�Zftit iir�}4c� <br /> Volume: �A h 1< <'\-0 " n <br /> Chemicals : VJLA- t-I , c- r6cn <br /> F. ACTION TAKEN { I tt rrn - <br /> 40- <br /> ^z �,2K,h � � l2LizrZ��. �A e � 0�' Co�7f'r1�t /r�lP7iv;J <br /> i <br /> COPY <br />