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'"w _ A <br /> SAN JOAQUIN COUNTY <br /> NOTII'ICATION OF HAZARDOUS WASTE UISCIIARGE <br /> HEALTH & SAFETY CODE 25180 . 7 <br /> A. EMERGENCY LEVEL: II III HEALTH DISTRICT LOG B <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: E�%&P1 <br /> 4y, telephone: �?oq) aa5 - lolo `/dr <br /> Reporting Agency Name: SQA ��iA �Cc T L <br /> U *- tAI�Pae 1 (JiSf/ rC <br /> Agency Contact: Lel;* tA.. Res L t� Telephone : ( 104 ') <br /> Address: 0 a00 q S/-1 C � ! 5-d 0 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: .300 JU. rop <br /> (Best Physical Descri tion) / S et( City or C unty) <br /> P <br /> Date of Discharge: �' �� �'9 <br /> Date Notified: Q : 30�.,., <br /> Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business � CLion , /6, ;� SCK SC`i.v ,4/� ��iC H%Cf <br /> Contact Person: Clea n leS L- u by` r Telephone: <br /> Physical Address : -701 1U . k�Qe-&'4-v� <br /> E. DESCRIPTION <br /> Type Release: <br /> Volume: / q <br /> Chemicals : GQ�J go�li rtC� <br /> F. A�CT/ I�ON TAKEN <br /> / �CL� 4So'%' L �- . ac/pc� ccs <br /> jr�. -re t v� 01 I Sl89rio , D� plc ���ui � <br /> `on fiQ for- 3iS c °� <br />