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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCIIARGC <br /> HEALTH 6 SAFETY CODE 25180. 7 <br /> /J3 <br /> A. EMERGENCY LEVEL: 1 II III HEALTH DISTRICT LOG <br /> (Circle one) <br /> B. SOURCE OF INFORMATION; <br /> Original Source: Tef:,, <br /> g ep <br /> Orihonei <br /> Reporting Agency Name: � n ...,�)c�;;1 Lycn...P -D, en c <br /> f <br /> Agency Contact: �� TSrru_l Telephone : ( ?Gt) c <br /> Address <br /> C. LOCATION AND DATE OF DISCHARGE .} <br /> Location: F261WL j SrOC_1CYal✓ <br /> (Hest Physical Description ) ( City or County ) <br /> Date of Discharge: <br /> Date Notified: 3,/���� Time: l . l_`i Oi?ti <br /> D. RESPONSIBLE PERSON//BUSINESS <br /> Name of Business llur /( a6ile,; u/'.vs INC., <br /> Person: rjjelfContact � SS _ I 'i'elephone: ( Z0Z) Cjc -gip <br /> Physical Address : `�yyS` <br /> E. DESCRIPTION <br /> Type Release: 4ESV. 1/y !/,vo�z-jeiu,vo {n ;p GL Trfi.rk .5>S�E-ry <br /> VoIumer KNDwn/ <br /> Chemicals .- <br /> P. <br /> hemicals :F. ACTION TAKEN <br /> -rl i W/u.- BE- 2cl�Ui COY) 'TO <br /> LETc7�/'-1/IVB T7fE N/kTUFL OFf�"7CT�M' bf= ('f�NTf3M1 V.-`i77Bn/ ifs ' <br /> CLU iRC--1 n� Y/i /j7�'PieOPIL/F)TE �E�r ULA 7Z1�_2!f1 Gr 6'/VC Y: <br />