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NOTIFIC no o�u1 JUt%.QUl1-4 L,UUNIY <br /> N OF I- ALARDOUS WASTE `ISCI-IARGE <br /> ,�-IEALTH & SAFETY CODE 251 1 <br /> I <br /> -2) <br /> A. EMERGENCY LEVEL I H III PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFFORMATION <br /> Original Source: (20 n o n 1 e- 6n V t r On m-Orrf Q Telephone: ( 20 /✓Q 3- / 3�f0 <br /> 2!2 Fro-nt< uk,s,+ aV t S,r 14c .A 55Y CA RS Zo(a <br /> Reporting Agency Name: <br /> Agency Contact: TO yyl V I b I e+� Telephone: goq) y68 '3 y(o g <br /> Address: <br /> C. LOCATION AND DATE OF DISCI-IARGE <br /> Location: -312 I E • Fre rn m)+ <br /> (Best Physical Description) City r County) <br /> Date of Discharge: - UnKnrw n <br /> Date Notified: _ q I g/ q I Time: 10'00 A-^-% <br /> D. RESPONSIBLE P - SON/BUSINESS <br /> Name of Business rrj15 OQW-knjl a(45 AKA fey taz <br /> Contact Person 1UQ ('4 a _n a Telephone: (Q ) y&4- 7 3 ;z y <br /> Physical Address: <br /> E. DESCRIPTION <br /> Type Release: Lino-taJ+t6y,o.-d I aQI X-,� <br /> Volume: <br /> Chemicals: <br /> Q2V F. l.¢n,�) o•F Sa'� l 5pm-fR-- reser 1�s.ACTIOIN TAKEN <br /> ��YTl(Arnev�a1 ta(� /ft`�rrn�2(C�cl (A0M Y r p Soi I eQ21 f LZ YeSuL+> <br /> _ crnn i u�tc rem�svaQ • . ✓rharLS ile ar-,e c e,1 f .�i It 6,C- <br /> re <br /> ^� / <br /> 1rC'r4 t C.t/ c,Y (O l�((A""�f/1 M A I1�0 Y�Q r W IQ� a t Feh.(i /1k ,6 r{-�w�n ( tAaL <br /> 0444 r� GcB n I <br /> EII 22 013 (Rev. 02/90) <br />