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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180 .7 <br /> A. EMERGENCY LEVEL: a II III HEALTH DISTRICT LOG # 663' <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: t>0 V4YREAQ A-0 Telephone: (31?}1A k- <br /> Reporting Agenc Name: � uLjj���j2} SJV-4 U <br /> Agency Contact: Telephone: a9 ) 46 -Z44 i <br /> Address: 11001 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: SOL) T,. C )rl -1►J� <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: Ouvwqu�13 <br /> Date Notified: ,SvT; Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business L L <br /> Contact Person: UU}J b) Telephone: { ) <br /> Physical Address: 2' czk) <br /> E. DESCRIPTION <br /> Type Release: U1 IIMU- r r TityyL <br /> Volume: <br /> Chemicals : S <br /> F. ACTION TAKEN <br /> MhAk A-Jp 6F )Jks RL&I A I&� M TnF, <br /> —� L g -1-X , <br /> FI C-0k� tS l lea ra Vol the E Phi` ~CYh s vx c u ETU <br /> P"c Ba-nu u tcc -zrg cq-- 5 Lo �� <br />