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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180 .7 <br /> A. EMERGENCY LEVEL: T) II III HEALTH DISTRICT LOG <br /> (Circle One) `/ E <br /> ; <br /> B. SOURCE OF INFORMATION <br /> Original Source: 1�. 0 . 1aiIJS Telephone: <br /> Reporting Agency Name: �(,f7►�) �ig>4 }(1.�� ( (" <br /> Agency Contact: . Telephone: (209) f <br /> Address : <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: <br /> �q N 5� 2a �NvttA Sr StocK , <br /> (Best Physical Description ) (City or County) <br /> � s <br /> Date of Discharge: <br /> Date Notified: Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business Grx)CAA-� � �S7�t7� /¢„_ha—E7z-! <br /> Contact Person: INK ftjjA- j?f)u&f-1 Telephone: ( ;?Dg) 4&b -(od <br /> Physical Address : 9 g S� RA U�f1h�14 7 ' �T �1<Mt <br /> E. DESCRIPTION /} <br /> Type Re lease: T78{Z� � 4'�CZ G - l I EDF L~Qu J�>> S74Zo G l th�l K <br /> Volume : <br /> Chemicals : <br /> F. ACTION TAKEN �/ <br /> d <br /> diroc. �o•-iZon ��c <br /> a,fi d vf�r i CJ e X 1C,*1`f- 0`7 co n1 <br />