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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> r HEALTH & SAFETY CODE 25180.7 <br /> COPY <br /> A. EMERGENCY LEVELa) II III PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: d d o44,. o Telephone: q( !6 ) �5a'a7917/ <br /> Reporting Agency Name:: D <br /> Agency Contact- e du. Telephone: (,7D9 ) 46�I- 3q 9-6Address: 0 13 - c4-0071 .S46c-O-o til , Cl9 pSa O l <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: .<P-/ IJ• L1a�'e"kxt1 LRn e- / <br /> (Best Physical Description) (City or County) <br /> * Date of Discharge: LIL K-`,0V-)rJ - <br /> Date Notified: 9 5189 Time: 4c 3ojem <br /> T <br /> D. RESPONSIBLE PERSONBUSINESS <br /> Name of Business — q2M142 TEXAGU <br /> Contact Person: &Ieenn i(ka.n) Telephone: (2 o5 3341 —3a7/ <br /> Physical Address: Sal N dexo Ke e, Lo-Ke <br /> e <br /> E. DESCRIPTION <br /> Type Release: Lh <br /> Volume: LA V% V, no Lo <br /> Chemicals: <br /> F. ACTION TAKEN <br /> �,. .[I. �,�-�e, ���rviec._�L �.ttc-e0 � ✓X.�C e -m-s.a <br /> 1� <br /> bLj 44L <br /> EH 22 03 (Rev. 7/89) <br />