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AL <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180. 7 <br /> A. EMERGENCY LEVEL: I II III <br /> (Circle One) HEALTH DISTRICT LOG #_ <br /> B. SOURCE OF INFORMATION <br /> Original Source: Tf�AC� (�AlA1ySiS LA(-31 <br /> Telephone: <br /> Reporting Agency Name: Sf}/v Jp/{(�IIIA( <br /> AL/7A� [fir tT2icT <br /> Agency Contact: /�✓'// e � Telephone: <br /> ZO <br /> Address: -- C 0 , Fjd�C 200�J CTirF�r�/ c/S 20� <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: JL5, W LSon( (O-C4 <br /> (Best Physical Descri tion) <br /> on/ (City or ounty) <br /> Date of Discharge: U&f Kyww N <br /> Date Notified: / Time: �' <br /> / S D U nj <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of BusinessF L(-W(rS7�7/0/✓— .C"jCH /5 S <br /> Contact Person: J= F N �2 I'c! ( Telephone: ( z <br /> Physical Address : !� I S (�J ( s -7 <br /> �6 / <br /> ��u." S7oc�w,^l C/+)9�zUS� <br /> E. DESCRIPTION <br /> Type Release: UL) pr(-V4 ' ZF-D refease- <br /> Volume : UNKtAQWe) <br /> Chemicals : Pn XXL-FI\jes Caoso �i;Je. c.r cit c " � <br /> I �vvUclvi <br /> F. ACTTI�ION TAKEN 2 — IUN de�L �yip LA,hc1 SL7 <br /> Iro-14L ry-4v o V e-d <br /> SSo@SS V4.Et c4 � iJA) Lc 1 hec( 4'D <br /> ova 4v4- <br /> c F <br /> t,'-(A m Lfi ,65-rib�] �S Y e t U � v fG.e Ct �rd ort G�ci2r..cc/ <br />