Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCI-IAR (/,l /`} , <br /> HEALTH & SAFETY CODE 25180.7 U/,�J\✓� <br /> A. EMERGENCY LEVEL: 0 II III PHS-EH LOG # 10 - O t L� <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: oe RANI' H*"Telephone: RSC/ ) 3S-3S l� <br /> Reporting Agency Name: 1v,Ti!!4L4/1N �eun PWte <br /> Agency Contact: �o.✓Nf) 2Aa/ Telephone: may, 6 E- RZLo <br /> Address: P, O. 8 oX 2 Oo 9 �S 7-96�7on/ 6A- <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 146400 We 4lk ,Ar -Te-f}Ly�, <br /> (Best Physical Description) (City) <br /> Date of Discharge: U&4 I(vt c w <br /> Date Notified: 2 2 6 q a Time: -__ S: D o A <br /> D. RESPONSIBLE PERSONBUSINESS <br /> Name of Business _._ . 02 lrE S SG�,2VlC� <br /> Contact Person: (r�R -7AANl5#ei`ephone: (2::�y ) - 3 1=3 rl d <br /> Physical Address: n 60 -h <br /> �, 9-2 jjzhhz c,i Cp} y s X76 <br /> E. DESCRIPTION <br /> Type Release:, , U h9- <br /> Volume: V 4k►%bwh <br /> Chemicals: Pa+M l e u m � \ V Ar"g-bo r15 <br /> F. ACTION TAKEN <br /> -SQ/Z- <br /> 6c <br /> o(�7�I-m ire f;i e /�i�vir� �vt�✓ �>cfr��- D/ <br /> Col7-1a�1,1a an i a i ee-d 6ii 7 /�IfJD�oor� Cc �jel��y <br /> EH 22 03 (Rev. 7/89) <br />