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SAN JOAOUIN COUNTY <br />• NOTIFICf� I N OF HAZARDOUS WAST E"ISCI IARGE <br />HEALITI & SAFETY CODE.258U. <br />' <br />A. EMERGENCY LEVEL:II to PIIS -Ell LOG # <br />I <br />qlr(le On#) <br />13 <br />SOURCE OF INFORMATION <br />Original Source: <br />Reporting Agency Name: r7�{` <br />Agency Contact: <br />Address: % �• gn/ 7�0� CT ���-ta. � �t � <br />Telephone: (f �/S) <br />Telephone: <br />- <br />C. LOCATION AND ATE OF DIS HARGE <br />Location: �t� <br />"_'--•,' <br />`1 <br />- , <br /><7 �(LC�o` 4zj / <br />-r--� _ <br />(Best Physical Descriptions <br />_ (City or County) <br />Date of IIiscliarge:-^ <br />Date Notified: %�/(��g U <br />Time: <br />1). RESPONSIBLE PERSON/BUSINESS <br />Name of Business (�v <br />Contact Person:' �t /_ �� <br />Telephone: �'/ )� - ZS�/ C1 <br />Physical Address: Z02O (a.)eS /�L�4r�i EjA. <br />AUE, S 4r�� 7Oc rj�k^ <br />1=• DESCRIPTION <br />'Type Release: <br />Volume: Z <br />Chemicals: /L,�j ZL of <br />t'. -ACTION TAKEN <br />EH 22 013 (Rev. 02/90) <br />