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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25160 . 7 <br /> A. EMERGENCY LEVEL: II III HEALTH DISTRICT LOG <br /> (Circle One) 111 <br /> B. SOURCE OF INFORMATION <br /> ST <br /> En 2/Ud' <br /> Original Source: JT 7cc��e,,!11S � Sp/ Telephone: <br /> Reporting Agency Name:-�7"! -J5,4awit! L6&Pyf- fH - b1-,;;r10zLC7 <br /> Agency Contact: �,�//9f/�`//`Telephone: <br /> Address : 80 , 8d >< 2-6o S A �j <br /> C. LOCATION AND DATE OFF DISCHARGE <br /> Location: <br /> (Best Physicalre� <br /> escription) ( Cit or County) <br /> Date of Discharge : ��yyIf-?-Z-'p / <br /> Date Notified: d'Z2 OD Time: 7- ,' 67/4/_7 <br /> D. RESPONSIBLE PERSON/BUSINES"S�- <br /> Name of Business <br /> Contact Person: /LL <br /> 479�U/�40/✓ Telephone: <br /> Physical Address : <br /> E. DESCRIPTION <br /> Type Release: G'� CLr li , O e17o.� �� �P 77J SOi ' <br /> Volume: <br /> Chemicals: <br /> F. ACTION TAKEN <br /> A <br /> ,p�f'� <br /> (/ <br /> LC u K p c C. u rr r d -Fro nn I yJ- i Irl c <br /> Jtc.n i - C o n n e, c 4---c.C( --fo --5 In l l act.) <br /> Coll-1 u tti'lir1nc. sc. i I ;'hovCd . <br />