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_ � E <br /> *^ �{ <br /> 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) <br /> B. SOURCE OF INFORMATION <br /> Original Source: excel+�`� �e . Telephone. ( �f ) s`� -vao'( <br /> Reporting Agency Name: <br /> Agency Contact: �a�+� asls-..` Telephone: <br /> Address • !(hog E yj�K 2005 5� k� Gps g �20 I <br /> f <br /> C. LOCATION AND DATE OF DISCHARGE ` <br /> ?Set, ec.A-L, <br /> Location: <br /> (Best Physical Description) ' (City or aunty) <br /> r <br /> Date of Discharge: ��`�a+^ <br /> Date Notified: /?-q 1F Time: <br /> ! _ i <br /> ( D. RESPONSIBLE PERSON/BUSINESS F <br /> Name of Business ���+ ��aCQ.. <br /> Contact Person: Telephone : 7 5-" y SsY <br /> Physical Address : <br /> .E <br /> E. DESCRIPTION <br /> Type Release: U00.0�)o iZ�C� 2 c� <br /> Volume : <br /> Chemicals : <br /> F, ACTION TAKEN <br /> i l ay?Ctl �! 5 ►'sL�`� r mO <br /> _r- 2 �( _ n so11 bore'Y7 S obfct �c� <br /> r -C l_ <br /> 00 0 Uva t e.,,4--e U 6 S T , - - f ear r►-+ ,,•� <br /> C Uy j C� b-e "C- S f A f►'� ci C�- I , 5 rZ o f (� S v i o r') r�r i -t T_° ✓l <br /> to 1'441- c�-}--ro I e,.3,�rk b !s <br /> w! �'�" L f re ct c,{ r ✓' G Ct. `� _ v -r f-; c ct 1 4- �vr �' zor1fci I <br /> 2X n+ 4 T C 0 r'1 tci i']� j►'�c.� h O ✓1 a-v1 C( I { -tGr- k C�N� �� <br /> " e l 0 5,7 .d ► n P 10 ce-" o n a I a4e-f- UA R rho r-�- <br /> �r S J-J-e ' Tura K Ric r f cam+ j.' 0 U+ C,+ 5e- r v ice, <br />