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SAN JOAQUIN COUNTY <br /> Co <br /> plyNOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180 . 7 <br /> A. EMERGENCY LEVEL: / I J II III HEALTH DISTRICT LOG <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: ERi K A, Telephone: ?G /G 15� <br /> Reporting Agency Name: --2i✓ 7d1+61f//V <br /> Agency Contact: L�,`LG�iin� /� Sties elephone: (_,L-& <br /> Address: A� 0 <br /> C. LOCATION AND DATIF- O- DISCHARGE <br /> /. S s • So(lt r7��ii//���,) <br /> Location: �5 S6'JIily7Citi / S7�.r/ C-1-V <br /> (Hast 1-hyaical Description) (City or County) <br /> Date of Discharge: Uon//c"srridt✓i✓ <br /> Date Notified: U/—p—d'p Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business — ,4YV .70,4&to iry C.C. LA- ^J � S/ <br /> Contact Person: `ViLL;srIYJG c, Telephone: (�) %f �/-3 G 77 <br /> Physical Address: 0�'.�2 . AKA <br /> E. DESCRIPTION <br /> Type Release: 6.1/7 ,4ct Aid2/ZE�/ 12,lea 5e Iv- - GV/ / <br /> Volume: LIIVA 70 4-VII <br /> Chemicals: 1jGx;,Ll e- X,e Lere Gvi,ti( -746't`c 07th /v,,c4,6,aw <br /> F. /ACTION TAKEN / 1 <br /> YY Sl4 USS,eSSi77 i�� 1^ iL: t%lt'aI �V �Yc' �itrl7ii�c' <br /> ����, ca ( ✓ I �� nv Xl � of r?.JY�ncrnl��;✓. <br /> cy to H ec4I 61 stri C r 4�>/' <br /> re Vi euJ y(e,c + WePK- <br />