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SAN JOAQUIN COUNTY <br /> NOTIFICATION CF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180 .7 <br /> A. EMERGENCY LEVEL: � II III HEALTH DISTRICT LOG 8 <br /> (Circle One ) <br /> B. SOURCE OF INFORMATION <br /> Original Source: G � (� t'11V1ro" tI'L 2JQ,Q Telephone: (U 1�_(p�j— ,� <br /> Reporting Agency Name: �CQivv 0 uC CL <br /> Agency Contact: '/Leu ReS Telephone : ate) 5C6 �- 3�f�/ <br /> Address : �. n, rte- 3QQ 0141 95a o <br /> C. LOCATION AND <br /> -- DATE OF DISCHARGE <br /> Location: (L�,�j �o S, DA cf_. <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: C-4- t9_ � <br /> Date Notified: ��0� 17� � �� Time : <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business <br /> Contact Person: Oct fler, l✓eaj, _ Telephone: <br /> Physical Address : <br /> E. DESCRIPTION <br /> Type Release: ILIL/uRv, 92C� ill' <br /> Volume: 44,M %I'Gfa2L-�-e/ <br /> Chemicals : <br /> F. ACTIl1ON TAKEN <br /> CaA, �lo. <br /> 07 U <br />