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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 PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: ,Eget - _W��. ,,...� Telephoner �'B~ Ct'37 8 - -- <br /> Reporting Agency Name: <br /> Agency Contact: "L�1�re.� ��n� .. Telephone: ( 2.AA �� -344 �� 5 <br /> 1 <br /> Address: �• O_Wil. 2ff' �� e,:;, q:520) <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: �`CCX1T7)J CA <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: z dow 13 <br /> Date Notified: I -4 -g J Time: wtGkow-kl <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business kANPJ+4 02to <br /> Contact Person: I-jegzajA IT-OLr-pr±Q2 _ Telephone: ( Z:LYj ) 9Z -- <br /> Physical Address: 4-bo4 n. LrL <br /> E. DESCRIPTION <br /> Type Release: L&A Q . <br /> Volume: 6WI!�L <br /> Chemicals: ►� 6 <br /> F. ACTION TAKEN <br /> W 114T So <br /> J � � <br /> Vic .moo-. <br /> EH 22 03 (Rev. 7/89)' <br />