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• SAN JOAQUIN COUNTY • <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE _ <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: II III PHS-EH LOG # '71-, 3q <br /> ( rrcle One) <br /> B. SOURCE OF INEJJO MATION� <br /> IUr04�M�g U�A��A � Telephone: ( ) 83�' 081 <br /> Original Source: <br /> ReportiContact_jme: u <br /> Agency elephone:Address <br /> C. LOCATION AND DATE OFDISCHARGE <br /> Location: �� U / <br /> (Best Ph sical Description) (City or County) <br /> Date of Discharge: UM.A� <br /> Date Notified: _ 11-2-5--91 Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business <br /> Contact Person: Teelleplh`one: <br /> Physical Address- <br /> E. DESCRIPTION <br /> Type Release: <br /> Volume: <br /> Chemicals: <br /> R ON TAKEN <br /> I . <br /> y 'dlb <br /> '�' LLQ-.�kalst.tea�.rn� <br /> EH 22 013 (Rev. 02/90) <br />