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95-17-1994 02:53PM FROM TO 9449015 P.02 <br /> L SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> L HEALTH & SAFETY CODS: 251 W7 <br /> L <br /> EMERGENCY LEVEL I` 11 III Mi5-EH LOG # <br /> (Circle Orp) - <br /> L S 'C)URCE OF INFOFWA•T'ION <br /> Name (TA T 112 C _S y phone -'�� <br /> Company:_.--5 � ; �� ...--._..._—. __ <br /> Address. <br /> Designated Employee Naane: - cr Phone: <br /> L Ieportirg Agency Name: <br /> Ai'. <br /> LC. LOCATION .AND DATE OF D[SCHARG� f � � 95 74�5 <br /> ,,ucation: <br /> (Best a hyr,` a Descriptio ) iCity r <br /> %)ate of Dis harge 1 �.� _�_ � _ __ <br /> Dare Notified: 45 f ac f Time: • _`rte . _ <br /> LU. rle.SPONSIELP. PERSON,'SU=SINESS <br /> Name c:i Business: rL�.H qL } { <br /> __. �.. __ <br /> C'stact Person _�t�Z= _ �_> _ Tele `1oi / U <br /> Physical Address: _ y+ „__1 c tom., p <br /> Ma1lir, Address: <br /> Type,ype of Lsscnarae, <br /> �J OIUi•a*e: 'moi ...__.�..e' -v. �c.3' .. _ �.._.�..�__—____.F <br /> Chenu� ls' <br /> CirQ <br /> 4m.stances: ` <br /> R AC`7ON TAKEN _ _ <br /> - <br /> Z. <br /> --_� - <br /> SITE STATUS f��� t (y�/ � a -- <br /> EH 22 013 (•Rev,}%91 <br />