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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF WaARDOUS WASTE D&IIARGE (a <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL; l_J if III PHS-EH LOG # ::ooZ7i <br /> (Circle One) <br /> B. SOURCE OF INFORMATION f <br /> z Original Source: ode �itl�l iTW�IMn Telephone: d� ����15-o <br /> Reporting Agency Name: c� CDr,� 1 .G k17"/� . r/lC�� ?30 <br /> .Agency Contact: I o rc i LSvr <br /> p Telephone: 2=p <br /> x Address: i o U 7vGlC-�v G4 4jS 2 j / <br /> C. LOCATION AND DATE OF DISCHARG <br /> Y�W <br /> �f Location: -75- F 71.�,v 7 -9-)-376 <br /> (Best Physical Description) (City or County) <br /> r . <br /> Date of Discharge: h.0 W <br /> Date Notified: 14 Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business �- TA-C� <br /> Contact Person: :L0 F. Telephone: (�;f Z —6 5� <br /> ;. Physical Address: 5 C S S 9SI 24(, <br /> E. DESCRIPTION <br /> Type Release: U � - Y <br /> Volume: U M K-tA w ri1 <br /> Chemicals: PP 4 r O dlro G^-n,6 ,v S <br /> F. i ACTION TAKEN <br /> rL L& r <br /> U W <br /> rvx4-uv-e- ca. I.LcQ <br /> n c b'h b -f�e� a 12 t2 <br /> EI-i 22 03 (Rev. 7/89) <br />