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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> "P <br /> A. EMERGENCY LEVEL: m II III PHS-EH LOG # of a 7 <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: Telephone: 9 <br /> Reporting Agency Name: SAN ?a4��t r! C o Po[sue— NF.Ac-7-9 SE2y/C ES <br /> Agency Contact: ER/L T EVENS Telephone: <br /> Address: 4/4'5 —^/. S,414 -0--0 01 N <br /> C. LOCATION AND DATE OF DISCHARGE sToc KTori/ <br /> Location: 1900F. FRFA-w111-7- / <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: V N KNOr.)1r <br /> Date Notified: //31/q ( Time: 1 :0ff <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business A10 CAI- RFVERN6-E CoTTN4 <br /> Contact Person: A/F�II 210t,130k Telephone: qpc 3 I <br /> Physical Address: 1,206 -C- FRE/" 6WT <br /> E. DESCRIPTION <br /> Type Release: 061-4111f401417- ED djr- F- O F' 0 '0R VM4 rUG/i <br /> Volume: UN 140a)N <br /> Chemicals: /��?7PvLbu _� YD�2nc�Qk LnLS - <br /> F. ACTION TAKEN <br /> 5o r L-. A1�5V4.-r5 F�� NK�fuoy�L =ul�r� so�� coN rAuiN�r�o�l. <br /> FVATtIEA- Si TE �SS65sk cute �3E kE4� rRL-U ?Di2.Ag//VE <br /> Tuft N�TvQ� . Alf) EKTFNToF A/ •�s k�QUIRE4 <br /> 7,742f 4PEW aAR7:4TE ip6G2GX740AY -£NG i:� <br /> EH 22 013 (Rev. 02/90) <br />