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SAN JOAQUIN COUNTY <br /> NOTIFIi ATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL <br /> (Circle One) II III PHS-EH LOG # <br /> B. SOURCE OF INFORMATION <br /> Original Source:�yC f v�� Telephone: <br /> ldD9 )'S�f/ -5F5 / <br /> Reporting Agency Name <br /> Agency Contact: b&-c <br /> ,� "` " Telephone: a( o q) y�•(o�-3 �a r� <br /> Address: f? D . c7v7r aCJO <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 7 /a F'te"'L°' tea' Sf / StO GKN <br /> (Beat Physical Description) (City or County) <br /> Date of Discharge: 3 9 9!1 <br /> Date Notified: _3 a 7 /9 p Time: o�vri <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business So c�C°F,n..� Re o�' <br /> Contact Person: ara d ce ct r, e Telephone: (26 2j 'e- <br /> Physical <br /> Physical Address <br /> E. DESCRIPTION <br /> Type Release: <br /> Volume: 1> <br /> Chemicals: 0 <br /> F. ACTION TAKEN <br /> lip <br /> ses -t.-o <br /> EI-I 013 ( ev. 02/90) <br /> -1 <br />