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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WMTE_ DISCHARGE <br /> 14EALTH & SAFETY CODE 25150.1 <br /> A. EMERGENCY LEVEL: II III PHS-EH LOG # - 7 ? <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original,Source S 9' ri : .S Ca-w Telephone: ({y155 ) 372-.- 3Z37 <br /> llc.le- , C'ti <br /> Reporting Agency Name: r <br /> Agency Contact: Telephone: ( ) <br /> Address: - - <br /> C. LOCATION AND DATE OF:DISCHA <br /> �R <br /> pGE, ' <br /> Location: 366 s e C ticb�' o�c!" "' I . 510sy ,. <br /> (Best Physical Description)' (City otitity 4 <br /> Date of Discharge: . <br /> Date'Notified: ��6��/ 'Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name ofF Business 7vc jcs _ • -- _ <br /> Contact Person: -/far 4 i ' ,"Telephone: .;:�`l <br /> Physical Address: 4^5 r,F chem Lee <br /> E. DESCRIPTION -��. .Y,�` . , �; �.�. , s,r.;. t £ , ` ( ,, ;- ��: - -- , k . • - -- • y_. <br /> Type Release: ? �sl r <br /> Volume: yr�, /!A�✓� ., , <br /> Chehiicalsi --- - -- a erste Alec <br /> F. ACTIO hf TAKEN <br /> /g�f[JG4/.611 <br /> EH 22 Ob(ltft 02/90) ` <br /> r <br />