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SAN JOAQUIN COUNTY <br /> ,NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> . HEALTH & SAFETY CODE 25180 .7 <br /> A. EMERGENCY LEVEL: C, II ITT HEALTH DISTRICT LOG # <br /> (Circle . One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: 15kA Telephone: ( ) I-D4m <br /> Reporting Agency Name: <br /> Agency Contact: Telephone: ( ) 4loA- <br /> Address: n <br /> C. LOCATION AND .DATE OF DISCHARGE <br /> Location: 1� C�t �_ <br /> (Best Physical Description) ' (City .or County) <br /> Date of Discharge: <br /> Date Notified: Time: 1C'. <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business SNE L t <br /> Contact Person: L.` �i5+^,J Telephone: (IJI w ) LIR i--n,4-Cr <br /> Physical Address 1Cx3 PM E Su, 6 t40C? <br /> E. DESCRIPTION <br /> Type Release: <br /> Volume: <br /> Chemicals: <br /> F. ACTION TAKEN <br /> r i <br />