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/1 tJ <br /> SAN JOAQUIN COUNTY a <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> �n <br /> A. EMERGENCY LEVEL: I II II PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Name: o.00W EtS5 Phone: �58-(OZOZ <br /> Company: LOF <br /> Address: -5M C LOu ist E' <br /> Designated Employee Name: N I Wr, Phone: (?�) fo - 5 <br /> Reporting Agency Nae: SrtN S - )Iv. <br /> Address: Oq 6 S <br /> C. LOCATION AND DATE OF DISCHA4G�E <br /> Location: 500 F, ��UtSG Cmc / P <br /> (Best Physical Description) (q1:0 or County) Circle One <br /> Date of Discharge: <br /> Date Notified: 3-1-910 Time: aM <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: L-L4F ��^, <br /> Contact Person: -�oQ U11�1sS Telephone: (?&�D 66P -(o202- <br /> Physical Address: SR-A — <br /> Mailing Address: s�A <br /> E. DESCRIPTION <br /> Type of Discharge: �I `" � ^A U�1)fiL/oRBUUD PIPENE F118V11 SVPCo?�titJl� i►hJIZ <br /> Volume: Q <br /> Chemicals• IFsEg, Fury win+ IZM "f'it�� <br /> Circumstances: STYt�>J - ��y�L£aaEeASBfZ 2115-45LFE�INt 1.00,= &Ph- A(, T7�V �N <br /> 15D-10' K ��l_.Ol•J CO W"�N11 PtPE"NEi ( �vPnr I` 1" Q 6 " Lgxt'tzc� l,LpIUuelu ' <br /> F. ACTION TAKEN � VLem T- �>L�c.-Lg-nk -rAK&i 6u.T <br /> tl r-o a--� lu t.'lbk Rv4-PASS �L P l l.�Co. <br /> SITE DISPOSITION L- s �a iNJ C76 - TE0.�r <br /> l --6 '. 4 I q <br /> W LL L <br /> LS t �u?moiUK L <br /> W tZLt LU i1t�.R �ROTO R.bhM. <br /> EH 22 013 (Rev.4/91) <br />