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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: a II III PHS-EH LOG # 9.1- z <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: .cSTp e;m0!-rq Telephone: <br /> Reporting Agency Name: - Luo (XL4t27Y PkLAC_A;E�- SEjL V L C-E <br /> Agency Contact: �Iiktj& k3c-'c1 Telephone: G_):!i6_3 2 <br /> Address:-4,16 o. 5A-)3 Lt Ltwi G-F <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: +511 1J,pt F2C- A-V& / <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: <br /> Date Notified: 2- 14-q Time: <br /> D. ''I',.RESPONSIBLE, PERSON/BUSINESS <br /> 1 __ ,�� <br /> Name of Business <br /> ContactPerson: Telephone: <br /> Physical Address: -4611 PLA E3 C_ <br /> E. DESCRIPTION <br /> Type Release: �2E[L_L� F9tYK —1 A-OAzS <br /> Volume: --�62 ez, <br /> Chemicals: C;_;LOL-toa <br /> F ACTION TAKEN <br /> 60-1� YIUUIMIZESZ� ';R1L.LA-zeE , <br /> a=:!i2= GLIM k-S-f--Al� W�I-L 2c Ltshy_H mo MEkUb-_fj� <br /> aiIPE F3AL-L- 12ft-UlE ZdQ C-,V-M= ffz k1L_ A010af- <br /> Y EH 22 013 (Rev. 02/90) <br />