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SAN JOAQUIN COUNTY <br /> � <br /> NC"ION OF HAZARDOUS WAS ut GE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: I II Fne) <br /> O bHS-EH LOG # <br /> (Circle �� U <br /> B. SOURCE OF INFORMATION v <br /> Name: Phone: (�6 603-7400 <br /> Company: <br /> Address: Z �x p 20 <br /> Designated Employee Name: Phone: -3+,52— <br /> Reporting <br /> ¢ LReporting An Name: t a , <br /> Address: V� ,'iP� ��b1 ttnl 46'IAI <br /> C. LOCATION AND DATE OFDISCHARGE <br /> Location: 2,eM 4A . RA-?YIJ- r \ ISI / <br /> (Best Physical Description) it or County) Circle One <br /> Date of Discharge: U mwo <br /> Date Notified: 4 -ZI 45 Time: _ <br /> D. RESPONSIBLE PERSON/BUSINESS A <br /> Name of Business: t7PEl 513�(azt�,l �61I VViNf�L, mum a 0( <br /> Contact Person: bk) Telephone: (LIO) 491I�gI4 <br /> Physical Address: 401 E. .C-A j - Srr 5D1 LoN b L��(hCII i CA IhA)yZ <br /> Mailing Address: <br /> E. DESCRIPTION <br /> Type of Discharge: _ �LT�krr Aur ktiV�I`Il mk w �eDli. <br /> Volume: u LO W 0 <br /> Chemicals: KLAMI� &w o A <br /> Circumst <br /> prices: _lu�6Sn CAf16� lU r,\A N AAT-, g'T-t.1iR-E ip,�,sL' � 1 <br /> L1� �9(L AAw"�a A <br /> F. CTION TAKEN `fes yL Cgs j <br /> C�P�mc 6 s I - 2A7, FK QMEMAXIS, TIE <br /> SITE DISPOSITIONCJ k a LL U 611, ' 2iN611, R�C,�ALV�T�3R-4�1 (lln�4'Ttl(n�4'T <br /> EH 22 013 (Rev.4/91) <br />