Laserfiche WebLink
+ SAN JOAQUIN COUNTY .w ,�-� <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE ' f <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: (r)II III PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: AP o- ev,A-rc-ANO H-&,Au04 Telephone: 4 c -7/ -2.42— / <br /> Reporting Agency Name: <br /> Agency Contact: EWcL Telephone: (Zog ) <br /> Address: A"5 /'/, 5;0$W '7-04 P uT hl S 7Dc L�7oN f Goo 9 SZo'Z <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: moo/ tri l�i1t� l God <br /> (Best Physical Description) r County) <br /> Date of Discharge: E131c►! <br /> Date Notified: 7` 71�i( Time: !�4 <br /> D. RESPONSIBLE PERSONBUSINESS <br /> Name of Business <br /> Contact Person: ej; r r�ln�d ,fo�A_N Telephone: t!t CU <br /> Physical Address: ZOOS 4LAd:C9W L 4E GAS ZfL 564.W,41.4720_c4S41410; <br /> ,4rO "AJ6 /�.D. )c g'11, 5,4V -iATj54,e4- 9 LJ4oZ <br /> E. DESCRIPTION <br /> Type Release: �RrvE a�f` Cosd�.er of✓oae cai on�S: f.,�Li bra, <br /> Volume: <br /> Chemicals: E <br /> F. ACTION TAKEN <br /> LoA r_ Ft.Q� .D6r'i�7-i���T <br /> EH 22 013(Rev. 02/90) <br />