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SAN JOAQUIN COUNTY ` <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE 0 <br /> HEALTH & SAFETY CODE 25180.7 <br /> � G/ <br /> A. EMERGENCY LEVEL:�I II III PHS-EH LOG # ! 0 r O I q <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source:\7�E E, C/)M 5TOek Telephone: <br /> Reporting Agency Name: SdA/ ✓DAQV;A/ 6,-fi,,d//G T/'/ f F/ey/CCS <br /> Agency Contact: 001VAI 9 174f etl—W Telephone: (2,`7 ) �1�3C/e2c� <br /> Address: e, O d e ,:)-00 �'j S70C,�� /, G�9 252 2/ _ <br /> C. LOCATION AND DATE OF DISCHARGE ��' <br /> Location: 8203 /v' /� �7 / ---�� f r' i C/4 1� n?-7Z <br /> (Best Physical Description) (City o County) <br /> Date of Discharge: U64(1701411V <br /> Date Notified: /-3/1_90Time: �'00/f/G, <br /> D. RESPONSIBLE PERSONBUSINESS <br /> Name of Business AL,+/VT <br /> Contact Person: _� Lo�ns¢p�,� Telephone: <br /> Physical Address <br /> E. DESCRIPTION <br /> Type Release: — <br /> Volume: _ L)iV k m gllj ,.I <br /> Chemicals: _ h�/�/,`rr Li Vq/!'7j�R60N <br /> F. ACTION TAKEN <br /> eS51rr/�, 1yi� L 6e <br /> /1y ,� Gth ll)CYtirny— O C L1�i✓7�gA-7 7Z4 � /'7CGN/2c„l <br /> EH 22 03 (Rev. 7/89) <br />