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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> sp= <br /> .—HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: II III <br /> (Circle One) �/ HEALTH DISTRICT LOG �— <br /> B. SOURCE OF INFORMATION <br /> Original.-­Source: <br /> tG+ •Ikc. ]�2a/rCri Telephone: <br /> Reporting Agency Name: PabI;" fc <br /> T r� Chou�� <br /> . Agency Contact: N Telephone: <br /> n _f zg) 3 0 <br />.. Addi es s ' ':.r, �: ► P d �} orl�`zdr/ 6A-( <br /> C.. LOCATION AND'DATE, OF DISCHARGE <br /> _ <br /> Location: L ,f <br /> I est wPh ssal Description) + (CTi"ty7d <br /> or C nty) <br />' Date of Discharge. 4wit/ <br /> Date :Notified: ¢ , <br /> �a <br /> Time: a "'va `-q-M <br /> D RESPONSIBLE:PERSON/BUSINESS <br /> . Name of Business 17 <br /> Gj ,�(� J�1z�1�e ��•t.�,`�Br <br /> Contact Person. may./Z�t /4-�` . Telephone: �) <br /> r <br /> ., . <br /> Physical Address: '� � �/VC.t71N �f/ �"T�C•I�yON � �/.�2QG <br /> 'E. DESCRIPTION', <br /> Type Release: .; <br /> /y <br /> Volume: <br /> Chemicals: U ' <br /> F. ACTIONAt� .. TAKEN ��le OJ� /Vi& R1L�/1� L�GcS �eGt . <br /> ale a � 177 � <br /> dekrnioh ev 4'1-. vua4ur-e o Conrf�n�iw,g7 <br /> �It <br /> ;e-ccle ci rb ri r' a fan r p <br />