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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL:G) II III PHS-EH LOG # (�C1 <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source:-EJ,,ba2l2Ne�uss Telephone: ( joO <br /> Reporting Agency Name: <br /> Agency Contact: F; dc6, Telephone: <br /> Address: /01 E• qa v-,e l�a ) 5toc,k+o N 9s-,;-o <br /> C. LOCATION AND DATE OF DISCHARGE nn <br /> Location: 1 d 7 A1 . S e o o ) / Loc� Soun Q g u IK G ck rv� <br /> (Best Physical Description) (City or County) <br /> 'k Date of Discharge: _LA,AkLv%oW0 <br /> Date Notified: _ _ 11'.2.81 $9 Time: / �gm <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business ''` PIC I j -?roe eaA-� <br /> Contact Person•.-1 y I'Ain-a �JoJor,J c, Telephone: Oq3 3 — 0-21 / <br /> Physical Address: )0.7 N •S C 0 o 1 <br /> E. DESCRIPTION l <br /> Type Release: LL n ILY%o Lo <br /> Volume: uyj KW6W J <br /> Chemicals: —�%e.+a-o j e,w. h j o�a o c a 2 bo►.1s <br /> F. ACTION TAKEN <br /> �'^.o►. C OC7 ov til�`�-e au <br /> EH 22 03 (Rev. 7/89) <br /> VL <br /> �'°� (COO <br />