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July J UAC11.111V COUNT <br />NOTI TION Or 1 r OUS W DISCHARGE <br />HEALTH & SAFETY CODE 25180.7 <br />�{ E-MP--RCF—N y LF <br />�/ �T yy''T g�• yyy �g �+T,p LOG <br />.,fit �f asb' <br />A. L'1VJ-1:�1�Vf.:l�iC 1 YE 11 Lll P11S�1 .11 L4J4J TI' - a / <br />(Circle One) <br />IIs SOURCE OF INFORMATION <br />Original Source: ZgLe, Telephone: s -a -i 46k - 744 2� <br />Reporting Agency Name: ` `^� ►N • c®. <br />pert ic- Mr e: # <br />n TIZ4 1Vi1iE6FC <br />Agency Contact: <br />Telephone: <br />Telephone: <br />Address: <br />C. LOCATION AND DATE OF DISCHARGE <br />Location: 6ZjZ_ Al- <br />rD <br />(Best Physical Description) <br />(City or County) <br />Date of Discharge: ly/N61V <br />Date Notified•c?qa <br />Time: e <br />D. RESPONSIBLE PERSON/BUSINESS <br />Name of Business CA,0�4415 ' <br />Contact Person: 1Q�p C4�I,E�-4- <br />Telephone: _gy;'-dd2�4 <br />Physical Address: L2- <br />E. DESCRIPTION <br />7jpe Release: <br />�i�v2 L _ <br />p <br />Volume: LN k -Ni) u M <br />K % <br />Chemicals: r�Wf4p )0.�LL'1,�yt- <br />F. ACTION TAKEN <br />-- Ol7DlQ r St�iL <br />1�ISlos <br />n TIZ4 1Vi1iE6FC <br />R% HI 671� <br />iaSSE S�r�1� <br />Y EH 22 013 (Rev. 02/90) <br />