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SAN JOAQUIN COUN'T'Y <br />1 NOTIFICATION OF HAZAI:DOUS WASTI: DISCHARGE <br />HE'ALTII & SAFETY CODE' 2r180 <br />. 7 <br />A. EMERGENCY LEVEL: (D II III III ALT1-1 DISTKICT LUG 11 <br />(Circle One) <br />B. SOURCE OF INFORMATION <br />Original Source: <br />Reporting Agency Name: , ,k74Wi22'C� <br />1p <br />Agency Contact: I y{ /tet i 7F ©- , Telephone: <br />Address: <br />C. LOCATION AND DATE OF DISCHARGE <br />Location:9t78 <br />(Best Physical Description) (city or County) <br />Date of Discharge: <br />Date Notified: Tir►ie: col <br />D. RESPONSIBLE PERSON/BUSINESS <br />Name of Business Lyr <br />Contact Person: Telephone: <br />Physical Address: OG7 �C_A ��A I�, L45 <br />E. DESCRIPTION _ <br />Type Release:: <br />Volume: 1),1 Lown <br />Chemicals: <br />F. ACTION TAKEN <br />/, <br />4( Zvi it. -Y. <br />