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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> Health & Safety Code 4 25180.7 <br /> A. EMERGENCY LEVEL: I II III Health District Log Y 0 — 0 U 7� <br /> (Circle one) <br /> B. SOURCE OF INFORMATION <br /> Original Source: AooeF w LA--,t4 Telephone: <br /> Reporting Agency Name: L.irv� CT1'OSVS�rS <br /> Agency Contact: (-AAS (-I Telephone: O ys2 z9�� <br /> Address: N3� S� MISSI(7N BLVn S� �-reg Fe��or�-r Gk <br /> J 9 zf5 37 <br /> C. LOCATION AND((D//ATE OF DIISCHARGE <br /> Date(s): �yx� � �O Time: 10 EM <br /> Location: Id 7 TLINF 20( , / <br /> CA- <br /> -west Physical Descr p on City or my <br /> 4S3- <br /> D. RESPONSIBLE PERSON/BUSSINESS <br /> Name of Business: 1101-DS 1� (3r-0 fj n <br /> Contact Person . // gEKG Telephone: <br /> Physical Address: <br /> E. DESCRIPTION <br /> Type Release: ' ' "'"T'102/ 7-FD Ve11eW5rf <br /> Volume: /n/,t71v01—, <br /> Chemicals: MoTo2 G^ e�l <br /> F. ACTION TAKEN I <br /> N\oney )At of Wa¢-e-r <br /> r Vo nGf' IC via SLwLJS <br /> �i rn a l/�Q Cdh A 1�ni h A <br /> S e 5 <br /> I( <br />