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SAN JOAQUiN coUNTY . <br /> q NOTIFhwcnON OF HAZARDOUS WASTE D''� 1-iARGE r CJS <br /> HEALTH & SAFETY CODE 25180.7. <br /> A. EMERGENCY LEVEL ;I II III _` PH S--EH OG # 3`�`�C�7 <br /> cle One) <br /> B. SOURCE OF INFORMATIQN (OD" <br /> Name: Scoth tomy_de_ Phone: (Sic (.50v <br /> Company: Q v c c- cr; Cornw.ct--cam -_ •cxi. tb <br /> Address: 2101 S [ oar C!� !o l 2 <br /> Designated Employee Name: -. , Phone: <br /> Reporting Agency Name: <br /> Address: <br /> C. LOCATION AND DATE OF DISCHARGE i x. <br /> Location: Co I_i _ oo� 'i / Tr ac <br /> .(Best Physical Description} ,: City County) a One <br /> Date of Discharge: I L)(jk rL(.) ,,tvj <br /> Date Notified: . (;L4.4t _ _ Time: v <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: at to Lc. � a F. ow•meQ Vii: . - <br /> } Contact Person:; B,rd•2. ,Telephone: (511;m-r) 13N,, — 4500 <br /> Physical Address: 24,6t Weiosk-r- _St-, (t{ c9ax,(4wvJ C/4 aRk 2 _e_1X)r-5I1Z <br /> Mailing Address; <br /> E. DESCRIPTION <br /> Type of Discharge� .. .5ur&a <br /> Volume: ++%+ .174-00 r+� „j V1tl b l c,•� <br /> Chemicals' f ,eczs — ( <br /> Circumstances: 5 esf� OC�3 bn5 Ma� C Q e voo-C, 1 -1 <br /> 4 Cv[ ocAe_a I to cLv'eaS o¢ obuto�5 V cs 154r4 cvi t <br /> F. ACTION TAKEN Lila S <br /> r�v�rortrr•a i�- -Q- C <br /> Jil <br /> SITE DISPOSITION Gor'tf�reL Lre, <br /> fta-� <br /> e Ito wtit1-- ' be_ � <br /> 6-) 1WVLk (a-Q uc t- Efff &P4 Z-ok- v <br /> EH 22 013 (Rev-4/91) <br />