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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH i SAFETY CODE 25180.7 <br /> coo 0 <br /> A. EMERGENCY LEVEL: II III HEALTH DISTRICT LOG M //3 <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: l/,9Yinv /LiA1/i/f1 Telephone: ' ( 1` ) W-3-016 <br /> Reporting Agency Name: 51911 jaslrliC <br /> Agency Contact: ,�i4i.yrC �,ar/iljl Telephone: (2"1'7 ) $168-3Y/6 <br /> Address: /(V0/ - y�Lf�I/ �f� , <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: W 7y &.) //'"- / 7�, S, cps, <br /> (Best Physical Description) (Cit or ounty) <br /> Date of Discharge: <br /> Date Notified: x; Time: <br /> D. IIESP014SIBLE PERSON/BUSINESS <br /> Name of Business G' q"L �lBPy�n�c�nu"" n�rnP� <br /> Contact Person: Telephone: <br /> Physical Address: Lc/ //1' <br /> i <br /> E. DESCRIPTION <br /> Type Release: <br /> Volume: j�t,�netin-� <br /> Chemicals: <br /> F. ACTION TAKEN � 1 O �(i17L6�2E�f/d171�, <br /> l <br /> r <br />