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...� `w0, <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180 .7 <br /> A. EMERGENCY LEVEL: I II III HEALTH DISTRICT LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: pjL �/M �F� Eblephone: (SIS) .7-73 <br /> Original <br /> Reporting Agency Name: GueC <br /> Agency Contact: L.U11I •, 1Q SNf Jaj�Telephone: ( 416 S y <br /> Address: 2dyq <br /> C. LOCATION AN�D/ DATE OF/ DISCHARGE_ <br /> Location: !� 1 / S'o"#, AiP-pa?-7 W / /OCk70/✓ <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: um K Vt oyi f'i <br /> Date Notified: I r `d p I Time: � : OU PM <br /> D. RESPONSIBLE PERSON//BUSIN/ESS <br /> Name of Business ( OiVS(� Lir�GtGr / G�Tli�w�JS <br /> 0 <br /> Contact Person: ✓/�///7//(( /�N`�L Telephone: <br /> Physical Address: <br /> IJ <br /> E. DESCRIPTION I p <br /> Type Release: �lNfklitT►t01zIZEL7 Ise �° C <br /> Volume: _� )n1�CA0Ujh <br /> Chemicals: e <br /> F. ACTION TAKEN PP CP_ 1J£p -V-e5S <br /> _Gi.Ikfl e� s.fe ,elsse55;mek4 Wit-& be ✓.e wt e-d kz� dele,,zmthe <br /> -Nio omlw-a ard e)c4e"4 or, c� ,�J-rAtA :"A-ri0,-4 Ps OC? uIJed <br /> b �/ 4x& Aprro�vrtH+r, ggernC✓, <br />