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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETYi6QDE 25180.7 <br /> A. EMERGENCY LEVEL: � II III <br /> (/(` OA Tf DISTRICT LOG <br /> (Circle One) J% <br /> B. SOURCE OF INFORMATION /� U <br /> Original Source: --jQ / o�ASrlc� /- Telephone: O 232 -`�9�9 <br /> Reporting Agency Name: S- d " "'y !Or/L-j <br /> Agency Contact: ZauaU /�� Telephone: ( Z��i) IoB 35��'/ <br /> Address: //,D/ F 4;;,moO z Ae <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: l-:�'l--?- c �AAh-,-V r A= <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: /0 /I /� <br /> Date Notified: /Q�RA Time: x <br /> '30 DM <br /> D. RESPONSIBLE PERSON//B/USINESS <br /> Name of Business —22- Cr <br /> Contact Person: (2zqz��z T-elephone: (fig) 2399 <br /> Physical Address: /? ?- SAAAj6-!j6 -7 L <br /> r/ A�4 TK"✓ F} <br /> E. DESCRIPTION /- <br /> Type Release: <br /> Volume: " �nnt <br /> Chemicals: <br /> F. ACCITION TAKEN <br /> "" . �-. � Iht� �/I�yz!�KLC�o�J rJ, 4 ✓Y�/��r�a� lir i <br /> J <br /> a <br />