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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 ` <br /> CL 00 <br /> A. EMERGENCY LEVEL: PI II III PHS-EH LOG # ' <br /> ( ircle One) <br /> B. SOURCE OF INFORMATION <br /> Name: Phone: �) <br /> Company: <br /> Address: <br /> Designated Employee Name: Phone: <br /> Reporting Agency Name: S::C, <br /> Address: "3044 G v1)e.;0-,r i -yz- ct,�`2D1 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: L� <br /> (Best Physical Description) rr�d (r?� ounty raj <br />