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./ *W0, <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180 .7 <br /> A. EMERGENCY LEVEL: II III HEALTH DISTRICT LOG # ` <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: „U Telephone: (262) <br /> Reporting Agency Name: or,At _aLtd 7 <br /> Agency Contact: xi Telephone: ( 6 _f Z <br /> Address: }R. Q - Bey C <br /> I C Za <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: (6 700 DO . G24,u i(.l+yE a4_ / —FOAC <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: ' 612-1411819 _ <br /> Date Notified: _ 2y 1j w� Time: j I s� <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business Icn, S <br /> (— L-1 > (' � <br /> �_.,,� <br /> Contact Person: I as—, Pr Telephone: ( O5 ) <br /> Physical. Address: P. 0-3 Clk 3al 4- �r� .,...9 <br /> E. DESCRIPTION <br /> Type Release: ( SPi.Lt ` <br /> Volume: 70 <br /> Chemicals : I •t�seL _... <br /> F. ACTION TAKEN <br /> +r s U renfe <br /> amu. •r <br /> W M b e m oa v e4 'f-ao d ems•+ j e_ -�� gakApe1 �P?-,oew-v aF Crt bm� ul <br /> a, f 2 u� � t-tn e <br />