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t <br /> SAN JOAQUIN COUNTY <br /> f. NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25160 .7 <br /> A. EMERGENCY LEVEL: 0, II III <br /> (Circle One) HEALTH DISTRICT LOG # <br /> B. SOURCE OF INFORMATION <br /> i-"Or <br /> Original Source: <br /> 5AtJ �Pd1u ii4 LoCP►L _ Telephone: G <br /> Reporting Agency Name: �� <br /> Agency Contact: LU ,',N �.-. � 5�..►�or-J �� Tete hone. !J/r,,p : ( ' ��o <br /> Address: O a a f S7oG�-7v i� (�( <br /> er,5-z o/ <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 7 S, JAA1 ;(�AaU I� / S7GG�7uN Com+ y S 2 U <br /> (Best Physical Descri tion) County) ' <br /> p , (City or <br /> Date of Discharge: N K <br /> Date Notified: 2 , <br /> Time: �` G <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business 7FA9P, <br /> Contact Person: �� <br /> aaUe_ Telephone: <br /> Physical Address : S <br /> u r nl S7 -7& <br /> E. DESCRIPTION <br /> Type Release: <br /> Volume: uki <br /> Chemicals : Vs e 4f., <br /> "e ehs <br /> F• ACTION TAKEN <br /> w� , • .� a r a �.o� � -�-e.�. D F <br />