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AN JOAQUIN COUNTY <br /> • <br /> NOTIFIC,60 ONS OF HAZARDOUS WASTE _SCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL. II III <br /> • PHS-EH LOG # 191-31 <br /> I <br /> ( ircle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: _SCO -Eba ) Levine) Telephone: (�15 )��i-may —_ <br /> �Uhli� �--�elt(�'1 X•,• � �,.F—n � ��`�'� f�(JtSi0r� <br /> Reporting Agency Name: ���•��S <br /> Agency Contact: Telephone: <br /> Address: � S G5 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: '�UO E. !'Tt E / <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: <br /> Date Notified: I Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business PENA P <br /> Contact Person: F— CW rv-, Lev i ne.� — Telephone: (�[S <br /> Physical Address: 2 (��� mor{ Q Q n s PIA a �, c�� ,t �l�t �,� C'A � X02 <br /> E. DESCRIPTION <br /> Type Release: A oil r rtmite to 43 h n <br /> Volume: N I S <br /> Chemicals: <br /> F. ACTION TAKEN <br /> SCnd- c Sri � - <br /> (`rn-1 rm rh2 $ <br /> C� (k,�� C� f 1�c1 �r�-ri I 0. �� I r �npr{ C)CRUS <br /> EH 22 013 (Rev. 02/90) <br />