Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> NOTIFICATION OF 11A'LARDOUS WASTE DISC "'ARG f� i77 <br /> 1IEALT11 & SAFETY CODE 25180 . 7 <br /> ,r <br /> A. EMERGENCY LEVEL: I II III }IEALTII DISTRICT LOG #2C7 -C) (0, <br /> (Circle One ) <br /> B. SOURCE OF INFORMATION <br /> Original Source : 5.S CL� , N , D , Telephone : (�) <br /> Reporting Agency Name: <br /> SC <br /> Reporting <br /> a 1�,, 1, o G� `1 I ff�� <br /> Agency Contact: La,ej,ttie, uo-DGe, &L Telephone: (a01) <br /> Address : a' (aD E. Nom, ,D n , 5�Af-,.,, C/9 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: _lo� y /1l `E Sfree 7L / S--oC. <br /> (Best Physical Description ) ( City or County ) <br /> Date of Discharge: (�2 <br /> Date Notified: 3113 <br /> L Time: _ � iD�Oyry <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business 111C'$ . Cu}�yy � rcL �iA� ,� <br /> Contact Person: o. Qiyt � Telephone: <br /> Physical Address : o� C/9 cl s g <br /> E. DESCRIPTION <br /> Type Releaser <br /> Volume: j;:��jia <br /> Chemicals : <br /> vnlct�y- F ACTION TAKEN F� �� 1^eVli°ce1 0`C� �ea �C'cQ COYIfa�,,�-�.u `v,-c � <br /> SoiPV 44vty SSv axe r <br /> tectssess � <br /> 1 <br />