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9 SAN JOAQUIN COUNTY 0 <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE Q <br />HEALTH & SAFETY CODE 25180.7 <br />A. EMERGENCY LEVELGI II III PHS -EH LOG # <br />(Circle One) <br />B. SOURCE OF INFORMATION <br />Original Source:T <br />p ( q <br />ele hone: <br />Reporting Agency Name: 0- e ,H. <br />Agency Contact: Telephone: ) mak — 3 y a n <br />Address: R ©, <br />C. LOCATION AND DATE OF DISCHARGE <br />Location: j-51 0 & /--- <br />(Best <br />__(Best Physical Description) (City or County) <br />Date of Discharge: I/ / y- / S, 9 <br />Date Notified: /%) / IMP 9 Time:- 11;04 <br />D. RESPONSIBLE PERSON/BUSINESS <br />Name of Business <br />Contact Person: j <br />Physical Address:, <br />E. DESCRIPTION <br />Type Release:._. <br />Volume: <br />Chemicals: <br />F. ACTION TAKEN <br />EH 22 <br />one: C1 ) -V63 ! —10 9 15 <br />w � L'/9 <br />q5-6 7 U <br />