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i � � .. <br /> -";4 SAN JOAQUIN COUN'T'Y <br /> NOTIFICATION OF I-=ARDOUS WAS'T'E DISCHARGE <br /> 14EALT14 & SAFETY CODE 25180.7 <br /> A. EMERCTENCY LE'VEEL.` II III PHS-EH LOG # 3q rP`R 3 <br /> Circle One) <br /> B. SOURCES OF INFORMATION <br /> Original Source: 66OZ .A - 5''+c lses6w«� Telephone. b 7 —�- <br /> Reporting Agency Natnet -- <br /> Agericy Contact! Telephone: <br /> Address, .C5�— -,4Livij i ST60 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location! 9 2 0 APeryi,v4j �e,�c - <br /> (Best Physical Description) (City or County) <br /> Date Notified: - Time: 21"30 <br /> D. RESPONSIBLE PERSONMUSINESS <br /> Name of business . . :_ ...,. . d �, � , <br /> Contact Person: ,fti,�;c► L. &tJ Telephone., <br /> Physical Addresst � b <br /> E. DESCRIPTION <br /> Type Reeasei v <br /> _W1�/. <br /> t <br /> VOlutnet > Y <br /> F. ACTION TAKEN <br /> � 1 <br /> rT'r <br /> 10, <br /> EH 22 03 (Rev. 7/89) <br /> :3' <br />