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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE dISGI-I. GE <br /> HEALTH &. SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL:n, II III PHS-EH'LOG <br /> (Circle e One) <br /> B. SOURCE OF INFORMATION <br /> Original Sourcejt,re, 3?-Oww ✓t c_.. Telephone: to <br /> Reporting Agency Name: due►Jt�T� p�S1 V � <br /> Agency Contact: Cil% �c� Telephone: ( ) b <br /> Address: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 2� ' [9. <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: �I lJKtoBuJ <br /> Date Notified: -19-_82 Time: <br /> D. RESPONSIBLE.PERSON/BUSINESS <br /> Name of Business S t � <br /> Contact Person: .L.�ot3t►.»�e►,1 Telephone: <br /> Physical Address: _ C-WC49,9__� k <br /> E. DESCRIPTION <br /> Type Release: AQ0 L2&,-, MYL Ll(.ST-CLns 2� <br /> Volume: <br /> Chemicals: Q- �j . <br /> F. ACTION TAKEN <br /> N Shu(tk ►�h.» tSc�T 5T�T„=,C� e h� � +4S u t R� C��? Tt� P(t� p(fit A� <br /> EH 22 03 (Rev. 7/89) <br />