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0 <br /> (A <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180 . 7 <br /> A. EMERGENCY LEVEL: I II III HEAL'T'H DISTRICT LOG # RC1 - 177 <br /> (Circle one) <br /> B. SOURCE OF INFORMATION <br /> Original Source: 4S �Of , od- Telephone: A&/) <br /> Reporting Agency Name: <br /> Agency Contact: eanorc, � �� � Telephmne: (20'7) 76g-3y5 <br /> Address : <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: /� U .0 v tea <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: dr�/r! <br /> Date. Notified: Q Time: d b <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Businessar r' 1(c, TVr rOC�tJC <br /> Contact Person: _ rY� t+C-J-�e � Telephone: a-s,Qs <br /> Physical Address : -L-,Sc--) <br /> E. DESCRIPTION 7 <br /> Type Release: �TUV744�tl SII l�I�'1i+1k r!'__ ehC4 z <br /> Volume: C 1,111 f� V4U f <br /> Chemicals : <br /> F. ACTION TAKEN <br /> f 74 6 <br /> 9G e-1 s <br /> a / f C/a✓ sir a n cl e y-�enred 4-V <br /> 1(j4lP✓ 63 3 T-f- A-A I c ) . /� ✓i`sl l��e S�i e{� cdv/� <br /> Fill, �-�►er q s5�l sse X jr�P <br /> 1ii2 Q�7GT W7 <br />