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SAN JOAQUIN COUNTY � <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE � <br /> HEALTH & SAFETY CODE 25180.7 <br /> � C1 <br /> A. EMERGENCY L.. EL:rj-) II .III PHS-EH LOG ` D� <br /> (Circle One) <br /> S. SOURCE OF INFORMATION <br /> Name:_ - S'o;/ sa r s�<< Phone: (L"2 <br /> Company- =,.= 4 <br /> Address- <br /> Designated Employee Name:_ Phone: (20,] • <br /> Repoming Agency Name: "C' •c P <br /> Address- W5- ,.2,. 5'.- <br /> :7-0 C, <br /> ' C. LOCATION AND DATE OF DISCHARGE <br /> Location: /j yra � • - w _/ J <br /> (Best Physical Description) o Counry) Circle One { <br /> Date of Discharge: <br /> Date Notified: / 6/93 Time: <br /> E � I <br /> D. RESPONSE[.: PERSON/BUSINESS <br /> Name of Business: l error? USl� <br /> Contact Person: ..P-,4� /Va e Telephone: <br /> Physical Address: SSS lyt�z 9'V rr)-S <br /> Mailing Address: Tk4=.! <br /> { <br /> E. DESCRIPTION �:, 43 . <br /> Type of Discharge: l GL Q u I&I <br /> re <br /> Volume: <br /> Chemicals` P <br /> Circumstances- •/, <br /> A Oak Ile <br /> F. ACTION TAKEN <br /> { <br /> { <br /> EE ' <br /> SITE DISPOSITION Gurjdw s: r cs'' lts~sc �a afc r„,�.v <br /> G' f <br /> a rade✓ 4+ Orr-F <br /> 41 <br /> r !;" <br /> E � r <br /> 1 <br /> f <br /> 0 <br /> E:i 22 013 (Rev.4/91) <br />