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SAN JOAQUIN COUNTY Co ' r <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE � , �`� <br /> HEALTH & SAFETY CODE 25180.7 k <br /> i <br /> A. EMERGENCY LEVEL: I II IITr <br /> HEALTH DISTRICT LOG <br /> (Circle One) i <br /> B. SOURCE OF INFORMATION <br /> Original Source: Telephone: (�U <br /> Reporting Agency Name: sO P,GLut,&-! g <br /> Agency Contact: � r-- � } <br /> J Telephone: (209 ) 4 (o�-3(4qf) 1 <br /> Address: K( �t} F <br /> � Cur • �2, � <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: ozG� tom: Camrr, <br /> (Best Physical Description ) (City 'r County ) <br /> r � <br /> Date of Discharge: u <br /> Date Notified: =a23- -F's— Time: <br /> D. RES11014S113LL 1)ERSON/BUSINESS <br /> Name of Business W . 1 <br /> Contact Person: Cu. + . ti bo-00A--, Telephone: (,Z01 ) <br /> Physical Address: <br /> E. DESC12YPTION <br /> TYpe 1,'e lease: A Ali Cnz <br /> t <br /> Volu111L: <br /> chunlica Is <br /> E•'. 11L'1' Utd 1'PtiK1•:Id r � I <br /> L ed <br /> i <br /> CO1,5 C/ <br /> E <br /> 4 <br /> I <br /> _ _ I <br />