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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> t.S`,• A <br /> HEALTH & SAFETY CODE 25180.7 '. <br /> A. EMERGENCY LEVEL: II III HEALTH .DISTRICT LOG {k_ <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: A . VA A 0,J Telephone: <br /> Reporting Agency Name: 'S 1110 691. &iJ2 <br /> Agency Contact: . VU _�0soo Telephone: (%D9 -160 311 <br /> Address: ��•� ' i DH1C 7 �Q S1 `Z5�1 -- <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: S. ,�iu2l �T • / �71�G,�`F�11) <br /> (Best Physical Description) (City or County) <br /> i <br /> Date of Discharge: _ u L fJOU� <br /> Date Notified: Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business <br /> Contact Person: CjftCS <br /> LlQt.p�-- Telephone: <br /> Physical Address: woc> CLS <br /> s� <br /> E. DESCRIPTION <br /> Type Release: Fkqu 1697 <br /> Volume: <br /> {� <br /> Chemicals: <br /> F. ACTJON TAKEN <br /> A�S�S c l..t R:Cr� �G3—gnu�c Ttf'E <br /> c9 F C o TIt <br /> Q <br />.. .«:-.+.FI VN...rtr r-. _!"'S i..*sx.rrh.�'•.-,w�.-. -.u -i:..._.. .e-....s+�..l::-.:.�. .._;f•p.j",YN'i ."=z't;;....�"�L- x.'�_..l�:i'�.:.'.`._'r'`�`%'::'�r:'�'..-.,_''sr-,..:'e^. ...'_"'=;:::" ... ...._._. <br />