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SAN JOAOUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE ASLI-IARGE <br /> HEALTl-I & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL- 10 II III PHS-EH LOG # y r <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: kad uw E 6,+el- �\ Telephone: /5 a- 4/ 3a <br /> Reporting Agency Name: >A nl �dAQ Ll t kf (n, L b llc, 1-k A-c.-f Vk Serz ✓ica <br /> Agency Contact: Dn uA - 1N; (-5dn— Telephone: ( 2-6 .�542-0 <br /> Address: Q, O . 15,X 20 0 G� <br /> C. LOCATION AND DATE OF DISCI-IARGE <br /> Location• 7-73Y,5 5 , MA L Cl/-t,� S-3 7-t/, <br /> (Best Physical Description) (City or runty) <br /> Date of Discharge: U f IC n o w r. <br /> Date Notified: — S / Time: �a o A71� <br /> D. RESPONSIBLE PERSON/BUSINESS / <br /> Name of Business -��M�-� LA h d ire UPil46Em �-- 61ef 6'e14 e <br /> Contact Person: level vf:�4 Cb574e--iiv ' Telephone: <br /> Physical Address: 7O L6,p y�o3a <br /> E. DESCRIPTION <br /> Type Release: 044 <br /> Volume: - 1,ly ye) <br /> !�� rleChemicals: / <br /> /s <br /> F. ACTION TAKEN <br /> �f- f-e r/G�,� Go N TQ l�-�i h ��i a i� Ty✓oiy <br /> r <br /> '�1_�,c�e/_'�✓'o a vel ����'� �-.�/L /,✓Gi�✓'� �x �.v oc.�7d� �icJG�S <br /> SQ/YYt l d A/ f /Sr 9 d , FU A- 5'I 71- a S 5 P S M <br /> --_G�v►of PAX��� �vni?�-/�l/N.�T/O� ��/ GI��� 6 A/ �e <br /> Gt �b r 0 p I^I Ai QAe <br /> EH 22 03 (Rev. 7/89) <br />