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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> L� 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: <br /> Ll j-.- Apz- Telephone: ( c?4p) <br /> Reporting Agency Name: • �, �, ��,�t; <br /> Agency Contact: [c�t�P ��. � <br /> Telephone: 44S- '-Y Y"1,6 <br /> Address: Ro, /37-ap <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: el-Ty,/ e � �- / `sf�c-�•tr>>=� <br /> Date Notified: <br /> Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business , <"e <br /> Contact Person; �,�.�� <br /> L YL� inr- Telephone: (Loa) ,1�2-3-b-V14, <br /> Physical Address: <br /> E. DESCRIPTION <br /> Type Release: • � <br /> Volume: zL-4b <br /> Chemicals : 1��ivw <br /> 2 , �°Lv�a�l-ate <br /> F. ACTION TAKEN <br /> U <br />