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Id"050r, <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> `. HEALTH .& SAFETY CODE 'I 251.;80 . 7 <br /> coo LD \y <br /> ` A• EMERGE <br /> NCY LEVEL: <br /> (Circle One) IiEALTH DISTRICT LOG 7' <br /> B. SOURCE OF INFORMATION <br /> ' Original Source: jl F / <br /> Telephone: <br /> Reporting Agency Name: <br /> Cove <br /> Agency Contact: �' eq Y)of <br /> Telephone: (zy6��3Y,Sc/ <br /> Address: <br /> C• LOCATION AND DATE OF DISCHARGE . <br /> I. <br /> Location: / j <br /> / es� p S C4 A& h�� <br /> Y �1 lescription) ii (City or County) # <br /> Date of' Discharge• <br /> Date Notified: -�_ <br /> i) Time: ` :' o l <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> I: <br /> Name of BusinessA/0 <br /> 7iv I ro�+1C�TS <br /> Contact Person: <br /> I Te l,ephone: (�) ZS g a-5�5 <br /> Physical Address : <br /> E• DESCRIPTION <br /> i <br /> Type Release: �f V+�� �(tl C' A 1��?rrlkT7' 1 /J <br /> v'�1 e►1 C0 �tri' �v!`r�� <br />� Volume <br /> Chemicals : w ' <br /> F. ACTION TAKEN ii <br /> I� <br /> r� <br /> le <br /> 3 T-lf- <br /> li <br /> 0�'"� <br /> E Fir �h�/` �'Tc 4 Ss Ss y!r✓!f L-j ��.�. . �jL,1rC�f "+ <br /> 4 7tf [ q��i'�P/l f C /�'f r�/G��- a je4Cy, <br />