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I <br />0 <br />A <br />SAN JOAQUIN COUNTY <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />HEALTH & SAFETY CODE 25180.7 <br />EMERGENCY LEVELP II III PHS -EH LOG # <br />i'cle One) <br />SOURCE OF INFORMATION <br />Phone: <br />Company: a f< <br />Address: [-7j (75 Sf� <br />Designated Employee Name: Lo �-i4i% 0 i c c a Phone: <br />Reporting Agency Name: <br />Address: <br />C. LOCATION AND DATE OF DISCI <br />Location: 716 /4 J, ��' <br />(Best Physical Descriptio <br />Date of Discharge: f— //- <br />Date Notified: q — 15 — !F <br />10 <br />C-1 <br />County) Circle One <br />0-- <br />E. DESCRIPTION <br />Type of Discharge: <br />Volume: --�L- <br />Chemicals: Q <br />Circumstances: i <br />F. ACTION T <br />C <br />EH 22 013 (Rev -4/91) <br />