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SITE DISPOSITION g ("cc,e-uLt_ej u."4 <br />a <br />- SAN JOAQUIN COUNTY <br />NOTIFICATION OF HAZARDOUS WASTE DISC-IARGE <br />HEALTH 8c SAFETY CODE 25180.7 <br />EMERGENCY LEVEL: II III PHS-EH LOG # <br />(Circle One) <br />SOURCE OF INFORMATION <br />Name: Ke-y) t Phone: W-7) 93 7 8`Q7.; Company: C,OS f-')-LeAA-Z-n., 61---Jv <br />Address: <br />Designated Employee Name: Li 1ì 0 in 5 Phone: (2L7.) 446 <br /> <br />Reporting Agency Name: <br />Address: <br />LOCATION AND DATE .OF DIS, CtIA <br />I R. .c.‘,, <br />GE <br />(Best Physical Description) <br />-6v LC) dt Location: ,-2). I I N. <br />C(Cityjr County) Circle One Date of Discharge: q_ to — ci 7 <br />Date Notified: 9 _ n— 61 7 Time: 3.; 4-() <br />RESPONSIBLE PERSON/BUSINESS , <br />Name of Business: R. i 1)-P Lc, <br />Contact Person: v.5 Pr pcp J Telephone: ) F660 <br /> <br />Physical Address: <br />Mailing Address: P, 0, 0)‹ g j )0 St" c',,t_cra,frytc,1-6) 9'5'6 c <br />DESCRIPTION <br />Type of Discharge: CIA-Lt./1/4-e-, <br />Volume:i <br />Chemicals: p e <br />Circumstances; Arjoimwer/p.jez iramir.: <br />-4A6416 <br />r ,t-tAAA I aA-el },_"--, P/re.-/O, <br />Ca.c& ciz-yta-e) <br />EH 22 013 (Rev.4/91)