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- NLANDATOR. COy 1AS-5 <br /> pui3dc i?e�!th Sen or San loaquin County / <br /> rnviroruadnrol.i�eaitfz Divisica: /-) Jr <br /> - {Cauz.:cz N=C) (Time) (Dane) <br /> San Joaquin Councti ! / � / <br /> 3ca.rd of Suce.^riscrs: !e v r? /-5��/G( �J�� I v I -? r 1 l c f <br /> (Con=c:`+:ane) [—Lime) (Dane) <br /> H. hm..L T'H AxD 7Y C O D E _5[30.7 <br /> b} :env den Vmd.67Ove.-near ,mpiovee true ob inzar;=oa in to•-..^.arse of his o6c•:ai suticz <br /> eveYliage iiiezel disce or hre=c!,.-ie �d iii dis-^,* or zs <br /> :cus Waste .vim4 <br /> in <br /> ;eCm-_,Uiur� � or ais ;urisaicdon :na Who '-mac vs but mcg disctm= or ds aed discaar;= <br /> is ;ikev m r„�e suasf?nuol Injury ca tic ]uddc 3 th or suis--v mus, within sereacv Ivo hours, <br /> disc=ose ,uc� in r=don :0 he ic�l 3card of Sine.risors gad dzc !cif Ke~itii Otic.-r. �+a <br /> aisc.csu= of inror:nadon is �uirea ante: his su division when othc.^ti'tse pr+oiiioirea by �v. Cr <br /> wiiea €acv eaiorc=ea[ pe.-sonnei nave er�,.:iia rh�-t mcl i aisciosum would adve:seiv aim:=a <br /> ongoing <br /> c^.Mizkt! inveszi tion. or wII�Z dIe rrnsaaari iS rirr�dv zene='-1 puoiic '.caow{eaxe <br /> within die !oe_liry arir_:=by :he disc`qe or ed disc..m-ze_ <br /> c) .Zv des-i=^tCd ;ove:aMent _.^za{aV who O'LVin-V �d hizr:zQonailr IiS ca 4is:.fOSC <br /> L=Or=OU .1--;tdimli :0 -ile disz:!Osed Lmde: mbdiv 1 sic f b) shziL soon zau,nccon- oe ouII:snea 3v <br /> imBrisournear z he count: ;aii :or-cc mcre alua one .-=r or in rtsoarrsenz is 5--Marisan cr <br /> QOL More 7.:= �[:� �e_.�. i"e-UM ="- .:.Iso LmcsC 1G'ori me 2e'Sa�a 3 rnC Or :aC _ass �ri eve <br /> diaussnd dail= SS.X00) or more eve v eve ousand daiirrs {S2,S 000). Lae te: v <br /> t .nvi cn -.Cr 'noiatiot[ JL ii L5 se man r «t3 .. :C[ imr- of?oye'=t=r �^1Diat�C�C vl�l� <br /> d1ja/ dans I•-N)of=nvlr=an. <br /> I make alis ,=orc orl 'je^ it of ail dle dcs:=red of itY Cauaer of S:a JoaCuia. =a <br /> q <br /> (.3ge:icy Name) <br /> Sire: ` <br /> T•-vedjTmnECiName: <br /> Daze. C5,-ai p 1 sme: 3 <br /> CC: _ C��-S S:�ST C 0 D E r <br /> ONtitF-.t Y(!) <br /> Y <br /> Ec—zE--3,RF3 T0- <br /> E-H 2-Z 1: ;RCv. o&:0193) <br />