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SAN JOAQUIN COUNTY <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />HEALTH & SAFETY CODE 25180.7 �' <br />�b <br />A. EMERGENCY LEVEL: II IIT IIEAL`iH DISTRICT LOG � <br />(Circle One) <br />B. SOURCE OF INFORMATION <br />Original Source: G�QpUN/�/1JR.aEiL Telephone: QYe, e3S -7%0Q <br />Reporting Agency Name: �/�N -(�� �j,U,tLC.4L/S%2lG7- <br />Agency Contact: �/ia�l�l/% yl�f�/i Telephone: <br />Address: <br />C. LOCATION AND DATE OF DISCHARGE <br />Location:/LlWA7&ZAA <br />(Be �I <br />Date of Discharge: Un,/�2Qkht, <br />Date Notified: -/3j Time: <br />D. RESPONSIBLE PERSON/BUSINESS <br />Name of BusinessQ-- <br />Contact Person: A"S Telephone: (,? ) �, -627.3 <br />Physical Address: �3Q 0. <br />E. DESCRIPTION <br />Type Release: 014e, <br />Volume: nn lti� <br />Chemicals: i7irC-.oz� <br />F. ACTION TAKEN <br />0109 <br />