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f <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF IIAZARDOUS WASTE DISCHARGE <br /> HEAL`T'11 & SAFETY CODE 25180 .7 <br /> A. EMERGENCY LEVEL: U II I I I HEALTH H DISTRICT LOG NW-137 . <br /> (Circle One ) <br /> B. SOURCE OF INFORMATION <br /> Original Source: Telephone: <br /> Reporting Agency Name: IC <br /> Agency Contact: hnnr, alf", Telephone: <br /> Address: OI F. UP, <br /> C. LOCATION AND' DATE OF DISCHARGE <br /> Location: �QT 12�, aZ{�-1�•( / aC `, <br /> (Best Physical ascription) (City or County) <br /> Date of Discharge: <br /> Date Notified: _� � Time: Z/. <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business <br /> Contact Person: Telephone: . (,-Lo2) ciY&6-L(4' <br /> Physical Address: , nci] ,, R,y <br /> E. DESCRIPTION <br /> t <br /> Type Release; [/ <br /> r <br /> Volume: Zn v <br /> Chemicals: <br /> F. ACTION TAKEN <br />