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RM <br />SAN JOAQUIN COUNTY <br />NOTIFICATION OF HAZARDOUS WASTE <br />HEALTH & SAFETY CODE 251E <br />A. EMERGENCY LEVEI0 II III <br />(Circle One) PHS -EH LO <br />B. SOURCE OF INFORMATION <br />Original Source: <br />Telephone: (, <br />C. <br />In <br />E. <br />F. <br />EH 22 <br />Reporting Agency Name: .� <br />Agency Contact:,,-- <br />Address:L (-) .L1r <br />LOCATION AND DATE OF DISCHARGE <br />Location: ---? a <br />(Best Physical Description) <br />Date of Discharge: A ti�'�-1,j o uj <br />Date Notified: ` U Iliyap <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business . 0 14rrrrnr;ice <br />Contact Person: <br />Physical Address: 57-� <br />DESCRIPTION <br />Type Release: t• �� • �,� <br />Volume: __ WA <br />1 <br />Chemicals: _1_ { ,iM� HIAA! P-17 rrr�Yf:� <br />Telephdhe: <br />iISCHARGE <br />7 <br /># D`_�06a* <br />(City or County) <br />a.: <br />} <br />Time: <br />Telephone: U7 <br />L61 <br />F , - 3 yqc) <br />