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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180 . 7 <br /> A. EMERGENCY LEVEL: I II III HEALTH DISTRICT LOG <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: 6�-IaD611)Fl:ieSTelephone: ( \O <br /> Reporting Agency Name: n«, tcc, a�{ I)tr7-L� LT- <br /> Agency Contact: • �11� � Telephone: (ZO) 4&-342n <br /> Address: ILoDI <br /> C. LOCATION AND DATE OF DISCHARGE, <br /> Location: (pgZj r14G1Fc &N UuE <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: Q uy'k)Qa) <br /> Date Notified: �� , Z� �Qq Time: <br /> ?ita D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business /a- !S�I�r <br /> Contact Person: Telephone: (9&) 21-IIOQ <br /> Physical Address : I '�(o'a rIb} C'� t) •' SH-RA-Xoom 9 5gl <br /> E. DESCRIPTION <br /> Type Release: k-FRO(C-Lknt <br /> Volume: I1u1CrJ rJ <br /> Chemicals : <br /> F. ACTIONTAKEN <br /> J <br /> l L l �'A_�:✓��� i�ut�l t�] ��' �yM� d{� tun.(=rauroval. <br /> slit �4sSiS�wC�� r <br /> ec �tx,i <br /> wLL1 �� ii -b �t-rFPN��I,_ T1tr�A)itlA ] <br /> bkTF�T � Llusrvl�va t 1 A'SI.�tlJ � A'S (lE[Ou�2r� 34 "iltt ItVDR4�P Rtil,Ti �/ouLilse{1y <br />