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(C)" SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCH <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL:( I ] II III PHS-EH LOG # 'ZI-77 .. <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> ,owe-m A56css",-2,n'i- <br /> Original Source: c.uorj 3ay. to [181 Telephone: ( ) <br /> Reporting Agency Name: Vii-- .. . .. <br /> Agency Contact: ON Wm Telephone: �{� f 5 ) �Pg��9� � 0 <br /> Address; 1'--2-) 55 L1I0vv q S'U4k tol Corx6ord CA ITC157-0 <br /> C. LOCATION rAND DATE OF DISCHARGE <br /> Location: CJ ra h-h l Yu ! G <br /> (Best Physical Description)' (City or County) <br /> Date of Discharge: 11 vf1C)yJn <br /> Date Notified: [ Time: Ax '-00 <br /> D. RESPONSIBLE PERSON/BUSIN7SS <br /> Name of Business <br /> Contact Person: Telephone: 156.3 Z f <br /> Physical Address: 95 7=0 Z31 <br /> E. DESCRIPTION �2aSan R54�.c <br /> Type Release: &&zSa 1 t r,-q- <br /> Volume: UaKrvowli <br /> Chemicals: <br /> F. ACTION TAKEN <br /> EH 22 013(Rev. 02/90) <br /> Q <br />