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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br />�. EMERGENCY LEVEL: V II III HEALTH DISTRICT LOG ..�� <br /> (Circle One) <br /> 3. SOURCE OF INFORMATION <br /> Original Source: / �„c.Q Telephone: (?-01-1T <br /> Reporting Agency Name: <br /> Agency Contact: 1.4� �a- .�.�.. Telephone: (U l) <br /> Address: .,ej• ZION"- p 64 9 f-iy) <br /> LOCATION AND DATE OF DISCHARGE <br /> Location: /q.�-S-b /U. !111 / f <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: <br /> Date Notified: V17Time: <br /> RESPONSIBLE PERSON/BUSINESS <br /> Name of BusinessC 0- <br /> Contact Person: T lephone: ( 3�q • 3 G 3 <br /> Physical Addre : / �. N. kuwq qct <br /> DESCRIPTION <br /> Type Release: <br /> Volume: _��I.(/h��'�i•tidLtn�• <br /> Chemicals: <br /> TIOONJ TAKEN / <br /> Gtr AZ <br /> ' Q <br /> F <br /> f <br />