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SAN JOAQUIN COUNTY ( ` <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODI; 25180 . 7 <br /> A. EMERGENCY LEVEL: II III <br /> (circle One) HEALTH DISTRICT LOG Q l 7 <br /> B. SOURCE OF INFORMATION <br /> Original Source: j TG 01 <br /> Reporting Agency Name: <br /> 7— 'Telephone: (? C)438 3- y34C) <br /> o viPly S - + <br /> Agency Contact : <br /> Telephone: (ZC>) 6 g-3 Sl <br /> Address : S <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: <br /> (Best Physical Description) <br /> (City or County) <br /> Date of Discharge: <br /> Date Notified: �- 7_ �U <br /> Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business <br /> Contact Person: <br /> r � C a ► Telephone: <br /> Physical Address : 1691 <br /> 6.4"1 1-L <br /> E. DESCRIPTION <br /> Type Release. ,' <br /> �` <br /> Volume: M <br /> -er <br /> Chemicals : <br /> F. ACTION TAKE14 <br /> (//�v✓IrYl �!� � � �.S m �c � lj <br /> � r�nC lr1l . <br /> est 'Imi✓�c,��o r � <br /> _ f� <br /> C� � tom.� ��/ S i-F-C ��►' ccJ <br /> 1 ✓ �s�`� C1'Yi C;r7 �� I C Q <br /> -� o�-e t-e�n1(n t -�-�.�, �K�c•�-�-- 5 (� w// l( <br /> r <br /> U► Q v, <br />