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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: ® II ZIZ HEALTH DISTRICT LOG A q---U0 3 <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: � , VA . (A oLofJ Telephone: <br /> Reporting Agency Name: %-sw )(II Lo � cr <br /> Agency Contact: <br /> 2� c IJ Telephone: <br /> Address : P.0 - I"&�X 7(�j)q �� j) C* Q520� <br /> T <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: leo S. Ub 3f�l Qi4 S.T . / <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: U(x(�(�('�1� <br /> Date Notified: I 1 Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business R-w.L. 10 e5fata-SS <br /> Contact Person: Cjftc s LTelephone: (4L:�) <br /> Physical Address : to(OC) Vq tpC&A ST IQq <br /> E. DESCRIPTION U,1 � I e/� Pilau ' I <br /> Type Release: UoklkTdt" , 4- <br /> Volume: uowwoo 1 <br /> Chemicals : LQ i0 / (1(f5'L-Z_ <br /> F. ACTION TAKEN <br /> �uQ.RtaL 511-,E nuc w(u , gET Rt-:6u( (2a -Tn Vel-HLrmF,�L 11th <br /> 1iP0f7oPcutm, WAjucTp-2Y kea3c,Y. <br /> n:, <br /> cgtr <br />