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9 SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE I�iARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: I II III PHS EH LO6 # � -�--- <br /> ircle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: /)AR/�/l ,c�uhnvS0A Telephone: (�vo/ 4GrS/'2795 t_% <br /> \\ 7 ✓ �,/.�iJx��/u reJ <br /> Reporting Agency Name: " <br /> Agency Contact: ,(�i�sCY�—Z — Telep ne: <br /> Address: <br /> C. LOCATION AND DATE OF DISCHARGE S%drkj_L�1 <br /> Location: _ 4v/3/ 'PIK/=iC hve l <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: <br /> Date Notified: Z-Z��SC� <br /> Time: "/.,v S 4.in• <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business r�AC;/_'—ir She// <br /> Contact Person: fJAa�ELL k0b�tisoti/ Telephone: ( 8UC/) �S �'z799 '7L <br /> Contact /36 <br /> Physical Address: /3qD ulru�r" � ;G Rac6x)� <br /> E. DESCRIPTION <br /> Type Release: <br /> Volume: Uh <br /> Chemicals: v <br /> F. ACTION TAKEN <br /> T <br /> � " //-- <br /> d '�Q <br /> EH 22 013 (Rev. 02/90) <br />