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" SAN JOAQUIN COUNTY ..� <br /> NOTIFI� TION OF HAZARDOUS WASTE DISCHARGE U <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: a II III PHS-EH LOG <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: Da v� �,p� < Telephone: 9( 6 ) q2 cY/ SS <br /> Reporting Agency Name: <br /> Agency Contact:IP4111 �A/- CLry . Telephone: Cs? <br /> Address: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> ^ ��y r <br /> • Location: 4796w� Gy��t��e �}7-��,,,�,,," <br /> (Best Physical Description) (City County) <br /> Date of Discharge: 41- J <br /> Date Notified: Time- <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business In dK <br /> Contact Person: y 14m-,-f ✓ Telephone: Ur, <br /> PdLA-t <br /> E. DESCRIPTION <br /> Type Release: �l f�ti <br /> Volume: <br /> 4 <br /> Chemicals: dzev <br /> F. ACTION TAKEN <br /> Z�� � , a P <br /> EH 22 03 (Rev. 7/89) <br />