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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 C <br /> �f V <br /> A. EMERGENCY LEVEL: I II III PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: brcliti 4-(4t cwe(( �r��� Telephone: <br /> Reporting Agency Name: s411 joy/,r t&d 1,4 <br /> Agency Contact: '/f�,r�s/ l✓a��;iy Telephone: Z( o g ) 96 S-- 3'-/50 <br /> Address: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: �,?S Lj• / UA <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: ci^ �ixir�n <br /> n Date Notified: —113 tSj Time: ZZ-'06 " <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business ! <br /> Contact Person: ' groes Telephone: <br /> Physical Address: s yG 04/ Dr. <br /> E. DESCRIPTION <br /> Type Release: ✓/!/ruzvf�ud �� sG i�or✓1 viv�r�rovn� �,K � �/�S <br /> Volume: �n/�n�✓^ <br /> Chemicals: P/io/eam �yil/i0cc�pon5 <br /> F. ACTION TAKEN <br /> ��ithcr S;/c cxrSsirJr, w�// �e /erillm,' / /n � ✓ N� <br /> 4100 resli(vl l< <br /> EH 22 03 (Rev. 7/89) <br />