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r <br /> SAN JOAQUIN COUNTY `` C <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL:h.Y II III PHS-EI-I LOG # 20 :::10 <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> s �T� a, e, S. <br /> Original Source: _�<y� ��Q<yE77 Telephone: <br /> Reporting Agency Name: ZPAQ uinr Pk 6 f« 14 6-r4-L-rt-1 $,EKvi'ces <br /> Agency Contact: - Telephone: <br /> Address: `,N-76 <br /> / <br /> C. LOCATION AND DASOF DISCHARGE <br /> �<RTH <br /> Location: 2Z o/ w /�JQ SG<.vg .s�oc�ia Ci9 YSz4/ <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: _/7�-2 �Z-9y <br /> Date Notified: y Z y p Time: <br /> D. RESPONSIBLE PERSON/13USINESS �iv/ <br /> Name of Business -7�//]ENT <br /> Contact Person: //Wk Telephone: (_, <br /> Physical Address: !A�Gygi <br /> E. DESCRIPTION <br /> Type Release: U� <br /> Volume: - 4x z-S ga//dns <br /> Chemicals: o < G <br /> F. ACTION TAKEN <br /> G waf a6se,Q vu/, ,SGi " s� �a w N 12-47 <br /> 7/�w/C A�✓/� iys7i�ie-i/ ia<27"- oG S7aC�7oi✓ <br /> oo/Y/e o/ 7'lXe- ak, �.✓✓oLVE� <9No GonFrs� iiJ �c� ,9nsy <br /> 1oh�inl Gy O i L T G`O.ed .tel/i// -Aed }�e G/�o�i✓ l/�` <br /> E1-1 22 03 (Rev. 7/89) GSL `/S/� � �'/E �j✓O �,�s o� ✓' 2e D <br />