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SAN JOAQUIN COUNTY'' <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVE I II III PHS-EH LOG # - 3 <br /> (Circle One) <br /> 13• SOURCE OF INFORMATION <br /> Original Source: w Telephone: (20q ) qPV , yo <br /> Reporting Agency Name: � .. i <br /> Agency Contact: Telephone: �96 -3 ely 0 <br /> Address: C S o <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: T-,,kr-scv4ioN Q- ,,4rgJ4 ;. r� <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: 10/22 f ei o <br /> Date Notified. clo Time: 7 °� .M. <br /> D. RESPONSIBLE PERSONBUSINESS <br /> Name of Business ►.� �� <br /> Contact Person: Telephone: (,7-ocf - <br /> Physical Address: Of e,- <br /> E. <br /> E. DESCRIPTION f <br /> Type Release: <br /> Volume: m i rm+ r D c <br /> Chemicals: wa <br /> F. ACTION TAKEN <br /> r <br /> S rm,, f �e a7 4M/l cas ^ r c{Pc �-, cy sDrla�R- - <br /> 71, A .- -'f �1ns elPr�i?� 4 t iv c S A, <br /> W0145- 4--e4 4uz"4elerr der ar► ivN /� •a sr'�sln� frit/ �e <br /> cx r 9c <br /> EH 22 03 (Rev. 7/89) <br />