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• V� V <br /> SAN JOA9U4,.N COUNTY <br /> NOTIFICATION OF H1fAAbOUS WASTE DISCHARGE <br /> ( HEALTH 6 SA*8Y C�E 25180.7 <br /> A. EMERGENCY LEVEL: II III G <br /> ;��TH DISTRICT LOG q(10 �0/�(Circle One) <br /> B. SOURCE OF INFORMATION <br /> L' <br /> •s.t.�l.. U✓ -, :Q.a Scl•t.ol <br /> Original Source: Telephone: ( 109 ) <br /> Reporting Agency Name: _ Sw� So 1_; Leel N�N- <br /> Agency Contact: �)g":d Cev(s Telephone: ( 209) vbF 3vvo <br /> Address: leu E Narel{e_ p.a, go„ Zoog S+e.k+a c A 45zoi <br /> r C. LOCATION AND DATE OF DISCHARGE ( 1 <br /> Location: _A+ 10$w03x110 . �IteQ d<d <br /> , (Besr- Physical Description) (City or County) <br /> Date of Discharge: •Z11-4-ISF• <br /> Date Notified: ZI18trr8 Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business L- cok C/ �•ed Stl+eul o;5j<:c� <br /> Contact Person: --Oce" Le.-Y.A.te+ Telephone: <br /> I <br /> Physical Address : &-+,(*, l� ...;s4 \'(��e Ste<4 ie CA Cis? <br /> E. DESCRIPTION (n� <br /> Type Release: QQl+ole w t� l 1; Piw, tga c he{Qd a .:N� p+<GitS;o +Qsk <br /> Volume: est: ti �d<d 2 �asllo 1 `` <br /> Chemicals: <br /> F. ACTION TAKEN <br /> I w 4 la S ve� fd io tva 1 11 er w. t xed ♦ele.N— F std e� �es{ <br /> .•_.;Il dc{G/F✓w-;.eye 5�..,,•!,e o1(�� l<-.k wsjCslNw<..+ w.11 6t Nei<srn. �e t�de.{Cr.1,..;,•-� <br /> � � .+ ` GdM\M^+..na�.y/0,.1 ITr 1C1(QOr, vn. �IwG✓IN VN.�I I,d � .�.abl Ulj{JI'C, 'At <br />