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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180 . 7 <br /> A. EMERGENCY LEVEL: II III HEALTH DISTRICT LOG # <br /> (Circle One ) <br /> B. SOURCE OF INFORMATION <br /> Original Source: t)/J T//,/ Telephone: (20 <br /> Reporting Agency Name: <br /> Agency Contact: 1/w ///Q L� Vz�d Telephone: Lzv) <br /> Address : 2 Z , A GiJ�� 7o / — / - <br /> C. LOCATION At3D DATA���HAA2- - 4E Allele-14A- <br /> Location: <br /> _ /. _� <br /> Location: Jfjl�bj,pX d( 6LD(r A-r 3 �l �• NG1�l STK.VCA-�( <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: <br /> Date Notified: a�ap Time: a R11-7 <br /> D. RESPONSIBLE PERSON/BUSINESS / <br /> Name of Business �f �OLGO /IIAZ P A"•, 3 G S ^y, �fjT <br /> Contact Person: 23 ,L L Telephone: (_) <br /> Physical Address: 36 e ��7 -S'Ti�if/i <br /> E. DESCRIPTION <br /> Type Release: <br /> Volume : <br /> Chemicals : So G//tlil� <br /> F. ACTION TAKEN <br /> �cr <br /> lnf,,A . rn, (r G C0.2 Vrie.«n c QP v� <br /> j< h/1 l�n!! .fir e /l ¢ ern c,c� 40 <br /> Csan J 4 � L)i'n Locc( 1f-kP111 re � dire (,� lZo��o <br /> 50'Jrc,P-- a ex -t1Z!rt ORCon f"'�,�• <br />