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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE Q <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL I II III PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: Lp- i �eSC�. Telephones <br /> Reporting Agency Name: Sazu. Q- J5. AA <br /> Agency Contact: Telephone: <br /> Address: S&CAY32alC O/ <br /> C. LOCATION AND DATE OF DISCHARGE `` <br /> Location: / T� <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: <br /> Date Notified: y// Time: 41 ;64 �Pu ._ <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business 46 . �"� # /rl <br /> Contact Person: � Telep one: dl) _.611 --z�a <br /> Physical Address: `" <br /> E. DESCRIPTION / '� CC's 'r'c-1 C19 e?56 7 0 <br /> Type Release: <br /> Volume: <br /> Chemicals: <br /> F. ACTION TAKEN <br /> �' <br /> 4K <br /> • .-S'css <br /> EH 22 03 (Rel 7189) <br />