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FILE copy <br /> SAN JOAOM COUNTY <br /> JOVL-L�NO' TIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL(I II III EH LOG# 00 7 <br /> (Circle one) <br /> B. SOURCE OF INFORMATION <br /> Name: ')?rte Phone:46) b1� v <br /> Company: VIZ <br /> Address: 7t7 b r'S'` <br /> Designated Employee Name: Phone: b ' <br /> Reporting Agency Name: "kvrj Mt* <br /> Ltj <br /> kA L <br /> Address: 2.,m <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: <br /> SDl W . ►4zz kle momj <br /> (Best Physical Dggscnption) dy r County) Circle one <br /> Date of Discharge: U N VAO%" <br /> Date Notified: Time: <br /> D. RESPONSIBLE PERSON/BUSINESSp <br /> Name of Business: �� 8 f <br /> Contact Person: lit-) G!- Phone: <br /> Physical Address: <br /> r 1P,SI A CA <br /> Mailing Address: <br /> E. DESCRIPTION n L ^1 <br /> Type of Discharge: <br /> Volume: 0N <br /> Chemicals: <br /> Circumstances- <br /> F. <br /> ircumstances F. ACTION TAKEN gp- DI/a/51fih� 1M <br /> SITE DISPOSITION <br /> EH 22 013 (Rev.08/20/98) <br />