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J t' <br /> r i <br /> SAN JOAQUIN COUNTY,,,4 <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL:0 II III PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> ,DDmakd ,i4-s.ta IV, 6r- kvlkt/r�cz�t�n�l TtchnoLo�`f Ca{� ��22�Z�j <br /> Original Source: 45 g{vd. Telephone: (L{t } 3:7 <br /> ne-z- G4 gt45s13 <br /> Reporting Agency Name: .- - I " - = <br /> Agency Contact: Telephone: <br /> Address: - <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 3q C--7 +V 5ar11„oQq f�j <br /> (Best Physical Description) Cor County) <br /> Date of Discharge: c�fL�Ct'1t�c� <br /> Date Notified: qTime: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business <br /> Contact Person: Ste_lfe- (O47� Telephoner <br /> Physical Address: Kmfa Rew 5 Vb-wfo ca 758,5/ <br /> E, DESCRIPTION <br /> Type Release: -2a <br /> Volume: - L)ADir" <br /> Chemicals: l<e-stf- <br /> F. ACTION TAKEN <br /> h h O�� vvt p�C Glhc C-S GLVLG� <br /> CX AA <br /> EH 22 013(Rev. 02/90) <br />