Laserfiche WebLink
SAN 10AQUIN COUNTY <br /> NOTIFICATION OP HAZARDOUS WASTE DISCI-TARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: II III PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: _ � ew TR,gz,C� Telephone: 832-y�3 D <br /> Reporting Agency Name: sem✓ �� � CowN�y �« /�2,� CTSeg ,cef <br /> Agency Contact: CJ , A f NAVel Telephone: (� <br /> Address: _ R o , Bo v 9 S7o2L7Q„ 9j Zo/ <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: x757 ` A- J� .37-*/, <br /> (Best Physical Description) (City or//ounty) <br /> Date of Discharge: -7-130 P—• <br /> Date Notified: 0 Time: 7-1 /07 <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business 7 /7'7=�iNz <br /> Contact Person: _ /20 9 r- I-724 Telephone: (WI) 3 <br /> Physical Address: rIS� /� S� 7.�'1}vy C/} 2S 7tl <br /> E. DESCRIPTION J <br /> Type Release: 7TAI,97A f'�1 0� <br /> Volume: <br /> Chemicals: <br /> F. ACTION TAKEN <br /> - -7W-M 6`- �, i+ /eel rtia r c( o N <br /> �nfL4 K �Le, � ss e . a-y, ,Usf s,j,/�e 0L Ke ei'v/x) g <br /> ' T <br /> G.Ja�'�o (n 5 e,. -15- % o F e� i e SeA a� s per Q 4,-�-e, _ <br /> r, 1-S� i 'a Mrtt ., a5 0, b50, /�" r. <br /> A �a2Gxc10in5 ln�aSto �auIF�2 <br /> EH 22 03 (Rev. 7/89) <br />