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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVELG II III PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: rl carf�� ., t- Telephone: (222 41, --31 <br /> Reporting Agency Name: - Sn v Jarga'rN (L-k P,oAif'r M-C?A 2-mi-es E-,v,,ry-,,?o t A--r,,Il► D,f, <br /> Agency Contact: Telephone: ( ,_� y6-E-Zy1/L1 <br /> Address: - 10 _ Pact o900"t c,4or_kFG� 44 q50-101 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 55 le / S4or kmsm <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: u�"% �•--N <br /> Date Notified: Time: <br /> D. RESPONSIBLE PERSONBUSINESS <br /> Name of Business 'c++r 114s bed r'1�0�oti <br /> Contact Person: R i c Naf ry; Telephone: 1 S' 1717'Y— X617 <br /> Physical Address: E/Sss s_ McikW1e4 5-�oek�-vim <br /> E. DESCRIPTION <br /> Type Release: UA r2 <br /> Volume: UNKNOWY-i <br /> Chemicals: +,- <br /> F. <br /> F. ACTION TAKEN <br /> mit SrTt �s Cum--�Lj (nNdl�r ! ictnr!� N1 C K <br /> �+ -�. c�(rr�r.�,r.►N a-� -f1e ,oi-D�er� rf��� � ('a��llcis D�U�/oArrr�'��' o��^n��-fisn�� <br /> (��'�'rx.�iM�'^�� �. r c N r�-��N� n� ( �'f'�'f f us Q"✓PI cA m�.,% �er1��Io 1J <br /> EH 22 03 (Rev. 7/89) <br />