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---)T-R‘CK no <br />- <br />C-747n(7)il (-1(17, <br />note: <br />F. ACTION AcrION TAKEN <br />4 rY1Jt v .1 wei 4. 45 incri-trA :(.) <br />r f <br />uinrd -1-0rie-4--erri_the) 4-he. <br />nni;ure (Ind ex-t-en÷- (N-Dint-ruryi rwt-try) as r-,-9(), ?•(-ci <br />-f-r‘n hl -f. <br />SAN JOAQUIN COUNTY <br />NOTIFICAi.ION OF HAZARDOUS WASTE DISCHARGE <br />HEALTH & SAFETY CODE 25180.7 <br />EMERGENCY LEVEL: II III PHS-EH LOG # (Circle One) <br />SOURCE OF INFORMATION <br />Original Source: Telephone: ( ) (-4; • 2,z-4 <br />Reporting Agency Name: <br />Address: Ti -n1 /4.) AV <br />C. LOCATION AND DATE OF DISCHARGE <br />Location: -Qf -neWO <br />(Best Physical Description) <br />Date of Discharge: • U r*I-Nown <br />(City or County) <br />Date Notified: 0- (0 -c-) Time: j <br /> <br />D. RRSPONSIBLE PERSON/BUSINESS <br /> <br />Name of Business <br />Contact Person: <br />Physical Address: !.(:)( 0 I ) <br />E. DF-SCRIPTION <br />Type Release: )n p fv,r-n( <br />Volume: Onki nni(ir\ <br />Chemicals: <br />Agency Contact: Vac- <br />ifThAl 1/-,/4 (Th )1,t07,- )7.1 tr. 4-11:•-i Lk :77t27 r t ;l c <br />Telephone: ( <br />-Thr/Thr cl -773 (-) <br />r-v1 Orrl <br />T s)nr\rm•-•._ v--(f A Telephone: ( 71,4 ) t"L$fl <br />EH 22 03 (Rev. 7/89)