Laserfiche WebLink
v SAN JOAQUIN COUNTY .� COPYNOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: IDI III PHS-EH LOG # q,11-0—O 3-5 <br /> (Circle One) <br /> B. SOURCE OF INFORMATION Phone: aro x/07- 49b`) <br /> Name: --1,— �on�1 <br /> Company: �a eo ova rS Go . <br /> Address: P o E3o2L to Jam+-�s�'¢ 9o7oZ - 6D 38" <br /> Designated Employee Name: Phone. L� <br /> Reporting AgencyName: <br /> Address: Sor94�� s r s �c fro 4�Zo( <br /> C. LOCATION AND DATE OF DISC GE <br /> Location: So 1 i <br /> (Best Physical Descriptio ) r County) Circle One <br /> Date of Discharge: <br /> Date Notified: 2 28 9 Time: 3 <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: 04 ��S GD ' <br /> Contact Person: Telephone: yo <br /> aro <br /> Physical Address: o7oZ- 60 3� <br /> r4,4Mailing Address: y �3oX 6a 3� <br /> E. DESCRIPTION ,26ae4Sr� <br /> Type of Discharge: <br /> Volume: / C 1.1/' <br /> Chemicals oeE 04- <br /> Circumstances: 1Q0eo ���✓4s co s a3k rTE AnJ A �' row <br /> F. ACTION TAKEN_ 950 '6 <br /> �.eOAJLT G-r�C AS SOU Cy T/ /'�y�'" s91 D w <br /> EH 22 013 (Rev.4/91) <br />