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Mav • 13. 2004 1 :20PM Neil 0, Anderson & Assoc n'{No - 5090 P. 7 '; <br /> SANJOAQUIN <br /> UNTY <br /> NOTMCATIO.N OF aAZARD UO WASTE DISCHARG_E 2 B MM <br /> HEALTH & SAFETY CODE 25180.1 <br /> A. EMERGENCY LEVELQ 11 III PHS-EH LOG: f / —0 ' <br /> �ircle one) <br /> & SOURCE OFF NFORIMATION <br /> Name: SAW C lqjv-� Phoae: pct 4 1p,l '- �� -7 <br /> Company =L_ <br /> Address: 40"_7.5 f✓ _ <br /> Designated Emplovec Name. Phone: <br /> Repotting Agencv Name: <br /> Address: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 40"1 'Z� 1-- `�` -. 5 {b v� <br /> (Best Physical Description) (City Or ouatyircle one <br /> Date of Discharge: „` <br /> Date Notified: Time: 1-Z� <br /> D. RESPONSIBLE PERSON/BUSN7ES5 <br /> Name of Business. 6"7 <br /> Contact Person: L Phone: �,- <br /> 2-7 Physical Address: -) S C `Y/lw.� <br /> Mailing Address' <br /> E. DESCRIYTiON <br /> Type of Dischargc <br /> Volume: <br /> Chemicals: <br /> Circumstances: <br /> 1,( <br /> F. ACTION TAKEN ()�nre_. <br /> (.1 <br /> SITE DISPOSM N <br /> EH 22 013 CRev. UW-0193) <br />