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SAN JOAQUIN COUNTY N.01 <br /> NOTIFICAT10N OF HAZARDOUS WASTE DISCHARGt� <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: On III PHS-EH LOG # <br /> . (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: 7-M5 Telephone: 4 - 863 <br /> 166 FR414K <br /> Reporting Agency Name: <br /> Agency Contact: Telephone: U�2j <br /> Address: 41- 5441 7o4oafm �c��r1 cr¢ QszGZ <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: '�UZ. - 51-_ / <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: "v-k - <br /> Date Notified: SI�S�Rr _ Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business � -"^j Cow,v <br /> Contact Person: 6rW IA-- Telephone: <br /> Physical Address: a ZZ �" �'� S' S '`' �;'Zo Z <br /> E. DESCRIPTION <br /> Type Release: <br /> Volume: <br /> ,e . <br /> Chemicals: tq F <br /> F. ACTION TAKEN <br /> /JL,Q n! 5?�i�4 Ti�t�l C� rL�t l��T/cvl w SGL BE. <br /> 'TSD chi k'+,7 Awn � Tt, fDrL7'/ur//Jr�Ti� <br /> 55�'T T'i� fvrQ-Tri yNU -rc�i�Ti / Aeoo l�E�'rF�r�d-Tim <br /> �s Y i9 v ,e f if FI t vqV o G v,2rt. <br /> EH 22 013 (Rev. 02/90) <br />