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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCI-TARGE. <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL(I II 111 PHS-EH LOG # 90 <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: L�s4p P rS-rA-rLE'y Telephone: <br /> Reporting Agency Name: 2✓ .To A o U im (0 . Pytb j ic <br /> Agency Contact: �o N ,� H_ r KA 6 Telephone: <br /> Address: P, 0 , 66X ;2-00`1 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: ��3 50 �, ��G/ 96!�/� l G 1 3 7,6 <br /> (Best Physical Description) (City or ounty) <br /> Date of Discharge: ytiGi <br /> Date Notified: 2 —D —� 0 Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business _—��G r✓�S�i�}� <br /> Contact Person: �'iP.9/� T Telephone: <br /> Physical Address: 3 �-' LV i� `✓ G �lS� 7� <br /> E. DESCRIPTION f / <br /> Type Release: <br /> Volume: <br /> Chemicals: <br /> F. AC'T'ION TAKEN r <br /> �- <br /> aaP 7%e, !/Il i 11 �( �iZ' �T n� /i✓�.9Mi�✓�7o,� <br /> EH 22 03 (Rev. 7/89) <br />