Laserfiche WebLink
SAN JOAQUIN COUNTY FILE COP Y <br />`NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />HEALTH & SAFETY CODE 25180.7 n n <br />A. EMERGENCY LEVEL: n II III PHS -EH LOG ;E -/ <br />( Acle one) <br />B. SOURCE OF INFORMATION <br />Company: <br />Reporting .agency Name:y V <br />Address: <br />C. LOCATION AND DATE OF DISCHARGE <br />PNOWNEWFA <br />Location: 451z O F S G a��6 ri 14LA-' . l �SC <br />(Best Physical Description) (City r County) Circle one <br />Date of Dischs <br />Date Notified: <br />D. RESPONSIBLE PERSON/BUSINESS <br />fine: <br />Name of Business: / NG UO <br />Contact Person: 61c, Phone:��0�f <br />Physical Address: /3 (o Q >=SG nXa,—Pt� f} <br />Mailing address: s44w-�, 20 4-�� . <br />E. DESCRIPTION <br />F. <br />EH 22 013 (Rev. 03/30/93) <br />