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SAN JOAQUIN COUNTY ... <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 E p <br /> p� <br /> A. EMERGENCY LEVEL: II III PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: J.er�u �',�1rr,1 Telephone: ,c; CU3 ZU�iti <br /> Reporting Agency Name: \SAN ,quaoru CnuTy JiIroI' c <br /> Agency Contact: Imo, h Telephone: ( ?09-) <br /> Address: H,701 G i Iw�G1Ty�.1 �Ir' }ar rc'fi� �Xl G��7 f� <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: I (?fib Ij . 0141-, / -_ ST7'C P'7nj� <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: 10 11-}-Nei, <br /> Date Notified: Time: -3'0c) om <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business 12 r C Drt-) <br /> Contact Person: SFJ Telephone: 2u9 <br /> Physical Address: _IgiCn til. Pti( , F7)pKi� W <br /> E. DESCRIPTION n <br /> Type Release: 11nr�rn.rn�n,� S+nrI2 ,mak �-�, I(( r: /iisro w-(-d Licr nri <br /> Volume: un4 icuun <br /> Chemicals: /IIke-1 <br /> F. ACTION TAKEN <br /> -F�)Pl lull be �v�:��o � c( � ()C�; 17ty-yr <br /> 0�2_ e `Y10n'f ,til' , t he 4A ,nom ^I-c.n.e + <br /> CP ri t)r rtd Yji • 44, r <br /> u � <br /> EH 22 03 (Rev. 7/89) <br />