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• <br />• <br />SAN JOAQUIN COUNTY <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />HEALTH & SAFETY CODE 25180.7 <br />A. EMERGENCY LEVEL: DI II III HEALTH DISTRICT LOG # <br />(Circle One) <br />B. SOURCE OF INFORMA/1TION <br />Original Source: A�-T s �...w...�;��,-��z Telephone • (2i )33 y -Sys 3 <br />Reporting Agency Name: ���yowq �;., Lo�a� 6"I'At, <br />Agency Contact: g,,. <br />�� �,.4,r�s Telephone:„ {2o9) 44(t-3yy0 <br />Address: No-'- N-2 . <br />F $ �.`�o.n p. �. V a pt 200`% S-k�c�"�a... C. A -is <br />C. LOCATION AND DATE OF DISCHARGE <br />Location: <br />(Best Physical Description) (City or County) <br />Date of Discharge: <br />Date Notified: 01 12 3 y -T <br />Time: <br />D. RESPONSIBLE PERSON/BUSINESS <br />Name of Business IT 4 7 <br />Contact Person Telephone: (2o9) <br />Physical Address: Too �^- • T��N�r R& Log; A <br />E. DESCRIPTION <br />Type Release: <br />Volume: �nk..0...►. <br />Chemicals: cjie�el �,.QI <br />F. ACTION TAKEN + ,t <br />hGTW� S @Xl2wfi "\ Cpw�aw.ienc^4:�r1 A5 YL...�EC� Lj 'tt� Ck 00 ria <br />v <br />4Oro � 6ed n 1 It/�►s T, "v 2_ CL"*- A0 <br />1 J\ �Q �.Q.� ea�3-�- �C��o✓.� <br />