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k' <br /> SAN JOAQUIN COUNTY '. <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> S HEALTH & SAFETY CODE 25180.7 <br /> sj ... <br /> A. EMERGENCY LEVEL: II III <br /> HEALTH DISTRICT LOG 67 <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: hffc s04ilo ACOL a Telephone: cz/3) Z6 7 SS�Sf� <br /> Reporting Agency Name: S' p�T <br /> Agency Contact: OCO, J/V!�/ elephone: <br /> Address: <br /> Pi �' . / <br /> .C�.�.,�- Cid 9�'ZO/ <br /> C. hOCATION AND DATE OF DISCHARGE <br /> Aiotp�. <br /> Loca /s 3� .rl o�7S' / - el.-- <br /> (Best Physical Description) (City or' County) <br /> r <br /> Date of Discharge: (/, <br /> Date Notified: S--Z—f� <br /> Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business Adf C <br /> Contact Person: � �� <br /> TUU <br /> Telephone: ( ) J* <br /> Physicj <br /> les <br /> E. DESCRI ! , G.� G�4G/� 9'oaTy Z " Of <br /> Vol <br /> Chemicals : <br /> F. ACTION TAKEN ShcrL GOti7�-lt�i� - <br /> o �/q L <br />