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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY ©1I III PHS-EH LOG <br /> SOURCE (Circle One) <br /> B. . . , . <br /> Company: <br /> . . -Z• <br /> Reporting <br /> Address: <br /> C. LOCATION AND . OF DISCHARGE <br /> Location: o-�LDO <br /> i/ 41&1Date of <br /> Discharge:(Best Physical Descnytion) (City o;_C2HatyD) Cirde One <br /> Date Notified: ! s • . u <br /> RESPONSIBLED. PERSONYBUSINESS <br /> i <br /> � <br /> Contact �• • �e,,n moi%+:v <br /> . Telephone: • a i <br /> Physical Address: L!7I <br /> Mailing Address: 0-& <br /> E. DESCRIPTION <br /> Type of Discharge: <br /> Volume: z6-;;11 <br /> Chemicals: de <br /> �i <br /> • ii. Ae, <br /> F. ACT�ON TAKEN <br /> .6i3; i i. d2 .. -� �iI _iii •' <br /> i <br /> SITE <br /> DISPOSITION <br /> ��j 1t/lit.-.�,_i• � /� � /'� 'I _/IL.i a i/� / i= <br /> L/.�A71� .ice'%/� i/. . �i �T/��t. .Ii/ ♦ '�i � _ir._�/ r./ <br /> f / <br />