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SAN JOAQUIN . COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25150 .7 <br /> A. EMERGENCY LEVEL: I I III HEALTH DISTRICT LOG # <br /> ( Circle One) <br /> B. SOURCE OF INFORMATION <br /> Cot <br /> Original Source: _54:k a,—g4��e•t Telephone: ( z-1} Z 1 7-- YUs� <br /> Reporting Agency Name: <br /> Agency Contact: Telephone: (2-0q ) 4`f- 34wo <br /> Address: (bot F. 1.10.��i�a�.+ �_o. z.�o�, S }�. c-A `ts-z-Oj <br /> C. LOCATION AND DATE OF DISCHARGE ` <br /> Location: e sss- r.:. %t, f <br /> (Best Physical Description) (City or County) <br /> r. Date of Discharge: p�i6-. �a [v is [pT <br /> Date Notified: f �19 J98 Time: '•tea-� <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business <br /> Contact Person: Telephone: (Zo, ) YrS-- sQzr <br /> Physical Address : 535- ti . V .a-� St. 5��4��0� G� �SzoS <br /> E. DESCRIPTION <br /> Type Release . ( µde. o,..� S la,ag,: -Tj. k r ele-s-- <br /> Volume : C...y�i..a.�.. <br /> 3 <br /> Chemicals : fL,QV as�� <br /> F . ACTION TAKEN 4 <br /> 4/•• a.•.{'t.,oy. s' � 1 1L � t �!-d. i-.n� t` � I '� }} '��ng.r <br /> �¢ Q QOM r.•�3 Orman 4r u V.�G$S � `� � <br /> exf-ty7t 01P cOvl-fa,•vt;natl'e0-+ IV Jw- Ar--f e-r-P,-%('Cr=rC b 4 L rfhaa <br /> D �\ <br />