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a <br /> f SAN JOAQUIN COUNT' l <br /> NOTA._. A ON OF HAZARDOUS WAS'iE DISCHARGE . <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL; I II III A j Ery`-I6OG # �9 9 <br /> (Circle One) _ r ' <br /> B. SOURCE OF INFORMATION <br /> Original Source: fflgE Telephone: <br /> 0,0 1 13 34 <br /> Reporting Agency Name: —Sce4q, - <br /> Agency Contact: 6-Lt ,� Telephone: d,�)'2 60C >~•j `��O <br /> Address: . d Q y S"� C Iq <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: gp aL4u <br /> (Best Physical Descri on) (City or County) <br /> Date of Discharge: <br /> a <br /> Date Notified: 3� Time: . v o�►'yo . .. , ....--- <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business <br /> Contact Person: PJz. b7 A <br /> Telephone: . <br /> Physical Address: 50"1 `f�-- <br /> E. DESCRIMON <br /> lWe Release: <br /> Volume: <br /> Chemicals: <br /> F- ACTION TAKEN <br /> 14 <br /> a� Sao aA0QVM . E <br /> s�ssn� S <br /> EH 22 013 (Rev. 02/90) <br />