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,* SAN JOAQUIN COUNTY V <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 2S 180.7 <br /> Fly <br /> C (D A. EMERGENCY LEVEL: II III PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: �i�,c f=qy��,y� Telephone: <br /> Reporting Agency Name: SAN JoA4►vrni Ada//c Awelx/ S, 1/iCE <br /> Agency Contact: ICh Gr Telephone: ( ZG5 ) V6 <br /> Address:_ ,D, 0 . 1-061t/ Zoo � Z:7"- /0 �'� �� F i <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: /rom A-joc/ <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: <br /> Date Notified: Time: G D a�-,--- <br /> D. + RESPONSIBLE PERSON/BUSINESS <br /> Name of Business `S i",P ' ARW S/ LOW-- <br /> Contact <br /> WD T <br /> Contact Person: f ti 6uzmav-, Telephone: (Z5_) � 2;� 20 93 <br /> Physical Address: zeeeeA Zia LaIA6 <br /> E. DESCRIPTION <br /> Type Release: <br /> R <br /> Volume: <br /> PS�'� Ci-ft CD-C' -a <br /> Chemicals: ,� <br /> F. ACTION TAKEN • <br /> � 1�/l��Os <br /> EH 22 013 (Rev. 02/90) <br />