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SAN JOAQUIN COUNTY ,,..., <br /> NOTTFI(AATION OF 1 ,V/A tDOUS WASTE DISCHARGE <br /> i 1 IEALTl I & SAFETY CODE 25180.7 <br /> L1 <br /> A. EMERGENCY LEVELO II IIIPISS-I✓II LOG # 0 -,-2 /3 <br /> (Circle One) <br /> II- SOURCE OF INFORMATION <br /> Original Source: Zewl-,',e Telephone•. Z 6 c <br /> ( -�_ <br /> Reporting Agency Name: tl <br /> Agency Contact: ,5-`/,eG"►or �, f �F Telephone: <br /> yss- <br /> Address: < < r <br /> C- LOCATION AND DATE OF DISCHARGE e <br /> Location: 3 _/ C'h��vl <br /> / z CIA <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: _ ele �e-y4 <br /> Date Notified: �--6 Time: — <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business -13 e c,cr,.-, 0,,7 14/1 5�j .z <br /> Contact Person: _�lP���I �� 1-� Telephone: (Z�) 'S5 Z - Z <br /> Physical Address: <br /> E. DESCRIPTION <br /> Type Release: <br /> S <br /> Volume: <br /> Chemicals: n <br /> R AMO/N TAKEN <br /> /" �/7!7'�/iA4' G✓��✓fes ,� �f�cA (` <br /> �o7L <br /> r <br /> �6 lie <br /> sJ 71- <br /> ETI 22 013 (Rev. 02/90) <br />