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A, <br /> SAN JOAQUIN COUNTY <br /> NOTIFr(..,,ITON OF • !• r <br /> HEALTH & SAFETY CODE : 1 <br /> A. EMERGENCY LEVEL: 7 <br /> ' • / <br /> ►. • • <br /> B. f M OF f ' • <br /> W e5+/0 <br /> Address; <br /> � �.✓./!ice :i�� I/♦ c �_J�i <br /> Designated • <br /> yee Name- Phone: <br /> [Reporting <br /> Address: <br /> C. LOCATT0%LDDLTE OF D CHARGE <br /> (Best Physical Description) County) Circle One <br /> Date of Discharge: <br /> Date • r aTime: % `L <br /> !. RESPONSIBLE PERSONU3PSUV� <br /> Name • <br /> Address:Contact Person:, Telephone: CZqT <br /> Physical <br /> i <br /> Address:Mailing / • <br /> E. DESCRIPTION <br /> Type of Discharge: r <br /> Volume: <br /> diernical <br /> ,! `fit 47-57 <br /> ACTIONF. <br /> DISPOSITION <br /> _.�. I,iii 11 ���1_ I <br /> ell, wd via <br /> EH 22 <br /> 013 • <br />