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RECEIVED <br />191q <br />S ICN1 IVViRONMEN i AL HEALTH <br />PERMIT/SCRVICES <br />14VnF7CA aV <br />■ <br />F <br />Street_,4A) 194 VD <br />Mmwt Intersection Fixe, Distxict <br />♦ _ mmzber <br />i * # <br />Address <br />wm <br />2 lephone (Office) IS- 65-,7- EsbD (Have) <br />24 -Hour On -Site Contact (if available) <br />*Etr mency Response Agencies (Fire, Law, Medical, <br />*State Warning Centex- (800,) ,§2- <br />National <br />2National Resronse Center (800 <br />Cherrtrec - Etnerraency Response Information Service (800) 4-9300 <br />2bxic Infoxwtion Hotline (8001 <br />San Jo a rin Local Health District ' -6781 <br />Raxional Water Quality Control Bagri (916 0270 <br />*A business is required to report any release or that of a <br />hazardous reterial to these agencies. <br />