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SAN JOAQUIN COUNTY � �— <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE . <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: I II O PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION _ <br /> Original Source: Telephone: ��) 'j -ZZ(-4- <br /> Reporting Agency ame: <br /> Agency Contact: elephone: U2,69) 4(Q) -395 7 <br /> Address: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 452Z) S• 1�wq 99 / <br /> (Best Physical Description) (City or(! ount <br /> Date of Discharge: UA �A MkL- <br /> Date Notified: 10 - I L-94 Time: <br /> D. RESPONSIBLE PER ON/BUSINESS <br /> Name of Business I 011) -'+C�et(,H T S�tsr uS <br /> Contact Person: S-�u-P, �IU/Yl�M Telephone: ( ) 3+6 'J Iia <br /> Physical Address: ' b 9c)fl � <br /> E. DESCRIPTION <br /> Type Release: <br /> Volume: <br /> Chemicals: IINPAJ <br /> F. ACTION TAKEN <br /> ice. w �� �� - bel -9 <br /> Lc <br /> EH 22 013 (Rev. 02/90) <br />