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• SAN JOAQUIN COUNTY C/ <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 0 /y <br /> A. EMERGENCY LEVEL:pircle <br /> II III PHS-EH LOG # 92.1o, — <br /> ( One) <br /> B. SOURCEF�/INFORMA IQN <br /> Name: .�/iG(Yi� IPC �Cf� Phone: OIC -U 7 <br /> Company: BFI-,-, i7^S Enc <br /> Address: fLai -TeTrre 1 4-79 <br /> Designated Employee Name:--f/f Ile SO, )r, Phone: L� <br /> Reporting Agency Name: <br /> Address: 309, E. <br /> C. LOCATION AND DATE OF DISCWGE <br /> Location: //off i S• f/I s7': / LC9O/j <br /> (Best Physical Description) mor County) Circle One <br /> Date of Discharge: <br /> Date Notified: Zr cG Time: <br /> D. RESPONSIBLE PERSgN/BUSINESS /� ] <br /> Name of Business: /� 6 �� /l ,b/4a/- e�n n o"' <br /> Contact Person: elephone: C2._i ),,A gr - 16 pO <br /> Physical Address: 11,29 S. s f <br /> Mailing Address: 0/9 Cv,a 4// <br /> E. DESCRIPTION <br /> Type of Discharge: Aa k <br /> Volume: N <br /> Chemicals: l= <br /> Circumstances: <br /> P <br /> F. ACTION TAKEN z70'-�-4— <br /> SITE STATUS !/l( r d ' ��z• <br /> rr��-� <br /> EH 22 013 (Rev-4/91) <br />