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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL:@ II III PHS-EH LOG # 6, C A <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source:-1 eda balleO��u-,s Telephone: (aOF ) <br /> Reporting Agency Name: S �ogy eokK+\,' -714 S-&f4 D <br /> I <br /> Agency Contact. 16,Dce,ri. ,W ,- eu1g Telephone: (otp? } 14 3 4 <br /> Address: 01 E. 1-4a fie.I 4Q Sfoc-k4-,o rj <br /> C. LOCATION AND DATE OF DISCHARGE n <br /> Location: 16 7 N . S a o o � / Lo d� �Vt7o 0.g u t s O k n 4N <br /> (Best Physical Description) (City or County) <br /> k Date of Discharge: LkA"Co 0 0 -30 <br /> Date Notified: 11 1-2-8 Time: lPr� <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business -t ro p en-** <br /> Contact Person �Aft-A NoJotJc, Telephone: oq } _3 3 L - a/ q / <br /> Physical Address: )0-7 N •S L ko o f <br /> E. DESCRIPTION <br /> Type Release: n IC_n0 w 0 <br /> Volume: urj KWou)+0 <br /> Chemicals: —?,*-+Ro l e LkN^ h V � "cap-6 05 <br /> F. ACTION TAKEN <br /> f�o Ca� CAIry �-t/t 'j.e <br /> EH 22 03 (Rev. 7/89) <br /> 0 <br />