Laserfiche WebLink
A. <br />SAN JOAQUIN COUNTY 'we FILE COP Y <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />HEALTH & SAFETY CODE 25180.7 <br />EMERGENCY LEVEPi <br />II III PHS -EH LOG # _ 01-056 <br />tle one) <br />B. SOURCE OF INFORMATION <br />Name: ib <br />Company: S Co <br />Address: f (t12bo/ f <br />Designated Employee Name: 5 <br />Reporting Agency Name: <br />C. <br />IH <br />LOCATION AND DATE OF DISCHARGE <br />(Best Physical <br />Date of Discharge: 1 )n1 <br />Date Notified: 1 I <br />RESPONSIBLE PERSON/BUSINESS <br />Name of <br />Contact <br />Physical <br />Mailing <br />Phone: ftm) 1466 '6- 3iV55--1 <br />ity r County) Circle one <br />3� <br />DESCRIPTION <br />Type of Discharge: <br />Volume: <br />F. ACTION TAKEN <br />at - <br />EH 22 013 (Rev. 08/20/98) <br />