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SAN JOAQUIN COUNTY <br /> NOTIFICAMON OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: pilr11 <br /> Ie P S-EH LOG # <br /> cOne) <br /> B. SOURCE OF INFORMATION <br /> Original Source: IVD CAL— Telephone: (_95 ) 8&7'07 0 <br /> Reporting Agency Name: 5 E <br /> Agency Contact: a5� lam- Telephone: (Z0� �(Q ��ca <br /> Address: t/q-;7 an 0oag u i <br /> s <br /> C. LOCATION AND DATE OF.DISCH,�RGE <br /> Location: -(001 E• e,+U-Marl L-n . /.—"o <br /> ! <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: N � �wtJ <br /> Date Notified: S ZS q Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business UK D <br /> y <br /> Contact Person: � o,►nK 2L �l� _ T lephone: {q �y ) <br /> Physical Address: C-n on laC2 400 <br /> E. DESCRIPTION 'San <br /> Type Release: 6V <br /> Volume: N K N a w <br /> • Chemicals: <br /> F. ACTION TAKEN t t :•y . <br /> w <br /> V"� v 092 <br /> EH 22 013 (Rev. 02/90) <br /> k <br />