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_ 1 <br /> SAN JOA�Ug? COUNTY <br /> NOTION,OF HAZARDOUS WASTE Ph GI3 <br /> HEATH & SALTY CODE 2S1S6.7 <br /> A. EI► GENCY :( ti tIt PHS= #Lh►C# q — v' ' . <br /> Circle <br /> B. SOURCE OF INFORMATION <br /> aY` P. <br /> 1e. <br /> Address: <br /> 04 <br /> besi"AW Em lo, <br /> .0: <br /> k4ohiti$Ageney <br /> .' • .k�`..�xPy J4'�=!YA � g:Yr rY:1. a.z r.'' �:F <br /> i <br /> '.'�`e+f <br /> C. A .M•r�' bAy��'yQ, <br /> ON t (y�,1y�f �I <br /> , Va" <br /> ] t <br /> � xt r ?: '•:,' •til:jai'�,r��(� t.•ta _ Vi V� 1Ti•�� cP_ <br /> Date J� � t t <br /> Ore <br /> Date Notified. S'• '_ ►/` TIM <br /> :_ ' : ' !�3 b, . <br /> � �. .....�.r....�.�...r....+.,r.. �..� �. <br /> D. RESP0t4SMLE"PtK90N/SUSIN M- tf .�,�r.► ��t< ,rt , ,.., . � . ; r. <br /> ' •- g��I�i�l + _.�,+ r. !.' ..teL� l.r- f' •;,. . � .f' �. fi p t ,J:�. vPr '�.' +r <br /> ., �y�p •p• • .Vi <br /> �C'N4�i�G7�• 3c�. 1�, Ott f�'! {STSJ `�`{Fate +-,f a E F ''�f y��.,: d ass: >,,p �. <br /> ! <br /> �M& <br /> - � P.�IIdLLi.i� - <br /> Ea DESMPTION <br /> Type of Discharge: <br /> 3Chemicals• <br /> Circtrtrtances• r r a a Y <br /> F. ACTION TAKEN <br /> .. .. <br /> ..' ...... <br /> .05 <br /> p <br /> �i�.• ••ter: - -. - cr�rtrrAFiiAi�irr..,r <br /> 'MSY1'0i Lri <br /> • t <br /> SrM DISPOSITIOUFA <br /> AN at <br /> N ' <br /> JAW'imp ' <br /> .. .. .P ...,. - <br /> EH 22 013 (Rev.4/91) <br />