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SAN JOAQUIN COUNTY <br /> `' NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> •. . A. •EMERGENCY LEVE II - III PHS-EH LOG # �T <br /> (Circle One) <br /> B. 7 :SOURCE OF INFORMATION .•: <br /> Original Source: �' deS j4u,� - Telephone: (,16? `_g3YAely - <br /> Reporting,Agency Name: u r S v yes _ <br /> Lgency.Co_ntact: Telephone: (Zoq ) <br /> !, Address:' '}a.; 2v4";Z622 '' - <br /> C. LOCATION.AND DATE.OF DISCHARGE <br /> (Best Physical De cription) (City or County) <br /> ! }Date-of Discharge: <br /> U "•1JDate Notified: 19� "Time: ?41LI <br /> D. ., RESPONSIBLE PMSON/BUSINESS <br /> i,.Name of Business.: FRANC 1,4 firafl et s <br /> Contact, Person: &A- fiw tct. Telephone: (jjorf <br /> Address: 00 �r or-i <br /> E. DESCRIPTION, <br /> Type Release: .,.,.Qd'A f2 <br /> Volume: - - 50 ell jel <br /> Chemicals: 5r 6t ( C k"i der ,e-j <br /> F. -.ACTION.TAKEN <br /> e I- ,� PWeA 1, <br /> r <br /> Cie <br /> rI r- t e o <br /> $ <br /> EH 22 03• (Rev. 7189) <br /> • ,F <br />