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SAN JOAQUIN COUNTY R� <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE e� <br />HEALTH & SAFETY CODE 25180.7 <br />A. EMERGENCY LEVEL: II III PHS -EH LOG # <br />(Circle One) <br />B. SOURCE OF INFORMATION <br />Original Source: 0.HPj-; Telephone: ( LU-, L12-2) <br />Reporting Agency Name: 44-) JnArl,o o <br />Agency Contact: C ,14ey g„"r=y Telephone: -p y u i4� z <br />Address: _11.0 i F. I-1 a 1^- t �, r t rr• <br />C. LOCATION AND DATE OF DISCHARGE <br />Location: H55 M. <br />(Best Physical Description) (City or County) <br />Date of Discharge: r�Q.l r7i-j4, <br />Date Notified: _ I 1 I 1 t, km Time: C-0 nn <br />D. RESPONSIBLE PERSON/BUSINESS <br />Name of Business Fin -TC'Nc <br />Contact Person: 2t 419i S' CA nHa7 Telephone: 2C <br />Physical Address:I%� ,`rt, �z>f x ;,+.• -4 / nt^NY <br />E. DESCRIPTION <br />Type Release: <br />Volume: /✓� r� C t ; n —r 72z) f <br />Chemicals: < V w <br />F. ACTION TAKEN <br />//7 <br />I'G��// i i2? /� ��/ �l-` �h-"r'���2t��F ,C'F�Ti �/ A-rP;,Cy �/ l�li"✓ <br />EH 22 03 (Rev. 7/89) <br />