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• SAN JOAQUDf COL�(T� <br /> IFI <br /> NOTCATION OF I Z.ARDOUS WASTE D[S <br /> EE.UTH & SAFETY CODE 25130.7 A ( Se� <br /> A. EvIERG fCY LEVEL Q m PHS-EH LOG r 19 D T� <br /> (Circle one) <br /> B. SOURCE OF NFORNLAMN' <br /> Name: / �n / Q l��c C l f�i,,l Phone: ( ) <br /> Comoanv: <br /> .address: t 2so�'Tr �/v�Rsr0� ?�A'A SrX�/IOQ� rFJ/Cfr�7n /L �oFui6 <br /> Designaced Empiovee Name: Phone. <br /> Reporting Agency Name:. S /V (1 /iy DNS/c/77 <br /> Address: <br /> C. LOCATION .\ND DATE OF DISCHARGE <br /> C/,�D �f Al,�l�i Via. , D <br /> Loprion: � ounty ilCle one <br /> (Best Physicii Descnpnon) <br /> Date of Discharge: <br /> Date Nodfred <br /> D. RESPONSIBLE 0ERSON(/B�USn7ESS <br /> Mame of Busiaess: =�! <br /> o cr72(7= P AniO�R Phoae.--6 - zo, J17/ /6 <br /> Connc:.ddre <ov'G! crvc�i i)E ?(�12A Su/TE l r00 . Cy(fA6o <br /> Physio! Address: 2 rc 606 <br /> Mailing address: ' <br /> E. DESCRIPTION <br /> Tvae of Discharge: <br /> Volume: <br /> Chemicals: CA P—13o N 7cT2A cH C 0 e !Oc <br /> Circumstances: rel / 'j, <br /> (40—fm AA Sc! SAM PLcS lili%-2� TAG=+J Ai �/F<( TV LNCCtiO%2'� <br /> WFFTnZ S/rul'�S fes."� ON -5's3 ��CL w- /rocrJ/NEz rfrn�a` rrG-! <br /> F. ACTIONTiICE:`f <br /> SITE DISPOSITION rv��H�� r�SS�SSM1�t� i 0j�' CAf T�P,,4CJICrelOt <br /> NI L. zr C C (S <br /> _- O L, <br />