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( L_�;✓ 0 <br /> r,. <br /> SAN JOAQUIN COUNTY rA9G0 <br /> NOTIFICATION OF.HAZARDOUS WASTE DISC <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL II III PHS-EH LOG '# <br /> (Circle One) - <br /> B. SOURCE OF INFORMATION <br /> Original Source: `et P\eSa, Telephone: bt <br /> Reporting Agency Name: 1 <br /> Agency Contact: Telephone: 0� '3`�`�D <br /> Address: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: r76 6 u G� `C: / G CeQe-1rNt,r- <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: x <br /> Date Notified: / Time: <br /> D. RESPONSIBLE PE SON/BUSINESS <br /> Name of Business <br /> Contact Person: Telephone; /.: �� _ <br /> Physical Address: 1 F0 . 'cL 0c(z SC[-o R q y72 yU61 1 <br /> E. DESCRIPTION . <br /> Type Release: z <br /> Volume: l <br /> Chemicals: <br /> F. ACTION TAKEN <br /> fl,YU <br /> CGIA <br /> �. <br /> I 4 J <br /> EH 22 03 :( ev. 7/89) <br />