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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 C O D <br /> A. EMERGENCY LEVEL: 0 R III PHS-EH LOG # <br /> (Circle One) <br /> 3. <br /> <br /> <br /> <br /> <br /> <br /> <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: <br /> (Best Physicales' ption) C-7 or County) Circle One <br /> Date of Discharge: / /J/s g <br /> Date Notified: lzh Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: c,- <br /> Contact Person: 6 rj n.c ZA Telephone: Qvj W36 -37b,G � z37 <br /> Physical Address: ;-0,506 J/-( D . <br /> Mailing Address: U. bo r/L&agS�3 <br /> E. DESCRIPTION <br /> Type of Discharge: a- _ �D - <br /> Volume: �;Za <br /> Chemicals: Z <br /> Circumstances: < .. d <br /> h (.� - 7—akp- <br /> F. ACTION TAKEN Gc�P <br /> 7 <br /> w7 4 cJ <br /> S DISPOSITION O6 <br /> y <br /> W� <br /> E:? 22 013 ( ev.4/91) <br />