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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH 6 SAFETY CODE 25180 .7 <br /> A. EMERGENCY LEVEL: I II III HEALTH DISTRICT LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION C <br /> Original Source: 07airne- f a-VI (a- Telephone: (�) 4Gj-3410 <br /> Reporting Agency Name: SL)iy ✓�/1lLuit Lct' 1 C/G77(f6� /�Stii�� <br /> Agency Contact: Telephone: (gLz) Vis _: fwe <br /> Address: /60/ E �1/LfI�L� <br /> C. LOCATION AND DATE OF DISCHARGE <br /> G <br /> Location: 7� CS <br /> (Best Phys' al Description) (City or County) <br /> Date of Discharge: . /zo fb <br /> Date Notified: ?-/,-,- -j' Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> i Name of Business TexaC0 <br /> Contact Person: Telephone: (2-,7 ) X23 "OS <br /> Physical Address : i' ryli� �CCI1�Cc0. <br /> E. DESCRIPTION <br /> Type Release: <br /> Volume : <br /> Chemicals : <br /> U <br /> F. ACTION TAKEN <br /> �/.!O�,c,..�,iaa,Z 5//1�� //AA�2io Ltiil,�� /�.� .��„�L� ✓!� NC;yL��-.r'�-rc"l �Ze� <br /> /lt! Yft� �L�XJ/JCr�-�G <br /> COPY <br />