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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF • r• r M <br /> HEALTH & SAFETY CODE 25180.7 <br /> Lf <br /> a • � , <br /> SOURCE (Circle One) <br /> B. OF •W • <br /> Company: 11Q j <br /> AI'Le— <br /> Desigria • ,loyee Name: / a kt <br /> Phone: <br /> Reporring Agency Name: <br /> • f• <br /> C. LOCATION AND DATE OF DESCHARGE <br /> d, <br /> (BestPhysical Desr tion) ty • • ■ • <br /> ne <br /> Dare of Discharge: . <br /> Dare • r a • <br /> • A Time: <br /> I (OR JJ <br /> D. RESPONSIBLE • <br /> Name of BU=SM' esz: U <br /> ,\,e <br /> Contact <br /> Person: FJ'M.rc_. ".gra` . .. . s <br /> Address:Physical <br /> Address: ,! +� <br /> DESCRIPTION <br /> .- of r / <br /> Ic�I / // ..' � • / r: 1Jr <br /> Volume: <br /> F. <br /> • TAKEN <br /> 1 % <br /> i I <br /> / 7;�` <br /> DISPOSITION <br /> EH 22 013 <br /> f J � <br /> • <br />