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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 III <br /> ' (Circle one) HEALTH DISTRICT LOG �, � <br /> ti <br /> B. SOURCE OF INFORMATION <br /> Original+ e,,,,:source <br />- � g � , _ Telephone: (tog ) ?-3a <br /> Y Reporting .Agency Name: czs--h 5 ,;•r Low eAl}� +s# { <br /> r:c1 <br /> w <br /> Agency Contact: ., ,1 C..l, Telephone: ( Zoq) 469--Syzk <br /> Address: 16o i "`T_'. {� <br /> a�t�}o..•. �. �• D�� Za a9 S'�'�clt+o.., C� S S2 0 � <br /> -- <br /> C. LOT TIQN AND DATE OF DISCHARGE <br /> L9cation: tiA S 1�' �•... `'tit / r111a�� <br /> o _ 4""`-.,(Best Physical Description) {City or County} <br /> Dfte ofl Disctftzg <br /> Date Notified: B-fx-, f-F' <br /> Time: <br /> D. RESPONSI$LF PERSON/BUSINESS <br /> Name .p Suess �JwM �t� � +4 <br /> Contact Perpan: ] Grr I�oo,r� Telephone: M-g ) k S-2-4 <br /> 12 <br /> Physical Address: -14frvo S , 101,•.0. qcq GAs` 33 <br /> r <br /> E,,, bESCRIPTION .j <br /> w <br /> --',,Type Release: A^ <br /> i <br /> Volume: <br /> 'Chemicals : <br /> e., <br /> i'` � r <br /> F. ACTION TAKEN - � <br /> f1 � „y' plw�p N\Ir++►��ti �� v/J!O � �/1 � y 1� I <br /> � .� ;1 c�.,•'� •..I.,�...I�Io-, .wa�e-1' dam,:� 01.1,,.-��„ <br /> - ,.. 1 ,••s s w.ew�'- . <br /> Ar' <br /> t <br />