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SAN JOAQUIN COUNTY <br />} NOTIF�TION OF HAZARDOUS WISCI GE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: 1 II III PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: -po.v,41 0 '', Telephone: <br /> Reporting Agency Name: �.4N ✓affCZ •^' �o c,^i��i'��/� Loi-�9-G lGi� ri1 ce�3 . ��� <br /> Agency Contact: Telephone: <br /> Address: —. Bo ?moo J'Ta7or� G,e- yS20/ <br /> C. LOCATION AND <br /> DATE OF DISCHARGE <br /> Location: ! Al . � X57' / �`'1, e 9��71 <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: 10� <br /> Date Notified: — 24—�zy Time: ' OD,A'Al <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business <br /> Contact Person: ^-,Telephone: 20 <br /> Physical Address: C/� oG �� S� S- BL�Q / GA <br /> E. DESCRIPTION <br /> Type Release: UX9 <br /> Volume: dd6/ / <br /> Chemicals: <br /> F. ACTION TAKEN <br /> v <br /> -�/,v�-lG/4 G✓-?/� I / <br /> l�_e ✓�9 a i'f�_/t TD e GLA Gi`t.c� <br /> �i��iy�� � �n �a Hsi n a1�7 er QS �tyti i�� / . �� ltD�/v �Y•�G <br /> T <br /> z? <br /> EI-i 22 03 (Rev. 7/89) <br />