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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />!I <br /> HEALTH & SAFETY CODE 25180 . 7 <br /> A . EMERGENCY LEVEL : / 1 / II III HEALTH DISTRICT LOG #� <br /> ( Circle One ) l/ <br /> B . SOURCE OF INFORMATION <br /> Original Source : b/iwTe, & meL-6;e( j Telephone : <br /> i <br /> Reporting Agency Name : 45t rN J? A- ayl ,.l L6co c, 4epv(:M � JSllz(6 <br /> Agency Contact : Vyi' LoUiAM g • SNAtOK(/ Telephone : ( eh <br /> Address : /�a/ / ZltiL7yy � �70CC�0�! Gfl 9S�ZA> <br /> Co LOCATION AND DATE OF DISCHARGE p <br /> Location : C7 <br /> ( Best Physical Description ) / ( City o County ) <br /> Date of Discharge : 61A1ee ezj1y <br /> Date Notified : Time : <br /> D . RESPONSIBLE PERSON/ BUSINESS <br /> Name of Business �p /1i/pGLjicyi/ (�Oi✓S7eUG7/O/✓ ri <br /> Contact Person : SOA/^/ V Telephone : ( ,P3 <br /> Physical Address : � O /�S' �/(� Cf�il:�7�it �/Cuj , J 7c�Gk`%e�l 4�;A <br /> E . DESCRIPTION <br /> Type Release : U/✓i9lilTffD2/ZF6J Joileaosc fQ Soy / <br /> Volume : 61me/,7aw/y <br /> Chemicals : Sr 7DLue/7P� , �V�f� I7e Glv,c( /O7,"�L �B ��'✓�rh^ <br /> yct•�.kl CAR�xr� <br /> F . ACTION TAKEN / e <br /> 3 /�I s� G1SSeSSl7'/� G✓iGL �e � uifzec� TD GrB7� �lh /iie <br /> -fes_iLVeeAc4-G // eA . .�/ I�LdZl7elV > ,6. e� f 0 F <br /> / AZ Soil _ dzacutn ed 0.5 a Y`esu I o � <br /> a I .5 es o b kA,1 �, J e, P4-- 4tG e 4 t m e o <br /> L UNoUAi ry L, vvd lPrf%j k rc-,to� V 6 <br />