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NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> Health & Safety Code § 25180.7 <br /> A. SOURCE OF INFORMATION <br /> Company Name: v— <br /> Contact Person. <br /> Address: G 95� <br /> Telephone: <br /> B. LOCATION AND DATE OF DISCHARGE <br /> Date: —�—�rZ Time: <br /> Location: <br /> Best Physical Description City or Count <br /> C. RESPONSIBLE PERSON/COMPANY: <br /> Name of Company: <br /> Contact Person: <br /> Physical Address: 4'�Q <br /> Telephone: Q--j <br /> D. DESCRIPTION <br /> Type Release: <br /> Volume: <br /> Chemicals: <br /> E. DISPOSITIONAll <br /> / <br /> �2tll�t�� llirr�i����.i'ii/ /� <br />