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�... SAN JOA UIN COUNTY . <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> lJ `R <br /> /� ' - <br /> A. EMERGENCY LEVEL: UI II III PHS-EH LOG # G <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: ray, I A)ash Telephone: ( 2©,5) 33 3- 1334 <br /> Reporting Agency Na �4)hc Oe6-(+h 22-Laa oS��������dn � ,moo p°V-L <br /> Agency Contact: Telephone: ( <br /> 68 350 <br /> Address: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 82-0 S. Cle.-akae l <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: vn4aa.PQ <br /> Date Notified: 2/az) Time: M��� <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business E/lLS ()Ae-- iXIWSh <br /> Contact Person: 1-an 0/15 Telephone: X33 133 <br /> Physical Address: S2� S 'o�d/ceP ���o �� Ali SZS�C� <br /> E. DESCRIPTION <br /> Type Release: / h�i� 0� �P/�� i� d���� l�Gc�/in/' ,► ��� �� �✓' <br /> Volume: �� �� ow? <br /> Chemicals: <br /> F. ACTION TAKEN <br /> d/ o Q <br /> �z <br /> EH 22 013 (Rev. 02/90) <br />