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v SAN JOAQUIN COUNTY <br /> � <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 PY <br /> A. EMERGENCY LEVEL: II III PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: eCid/0 z— Telephone: ( ) - Y 6J'-.3 <br /> Reporting Agency Name: S&121o —,v�ccs <br /> Agency Contact: ro/Dv Telephone: Yf f -3 %6J- <br /> Address: 6c/ _ r/c{r l�0 7zE o� <br /> G LOCATION AND DATE OF DISCHARGE <br /> Location: a Sa sffy �c �, <br /> (Best Physical Description (City or County) <br /> Date of Discharge: / <br /> Date Notified: 7/64f p Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business a la rr <br /> Contact Person: Telephone: (Aqp _ LY2--5-000 <br /> Physical Address: /5-a - ,- d„ ,� <br /> E. DESCRIPTION <br /> Type Release: <br /> Volume: ,- <br /> Chemicals: ' . Aeiro mwA?75- <br /> F. ACTION TAKEN - '- <br /> �T <br /> /J <br /> s <br /> ----- <br /> EH 22 03 (Rev. 7/89) <br />