Laserfiche WebLink
SAN JOAQUIN COUNTY • <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: II III PHS-EH LOG # <br /> rcle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: S,1. Se r,jr cc'S Telephone: ( 2CFI) Q43- 5L(GZ <br /> Reporting Agency Name: 7:hl)c LU . ED cef--6c2 n� Oa-,n � r'o;n Cr)(-n4j <br /> Agency Contact: 4 T;( ��, Telephone: ( 2oq ) 14t P) 341ag <br /> Address:_ qyS �. Sr, Jrnar in 4t- S1-CdGA <br /> C. LOCATION AND DATE OF DISCHARGE � <br /> Location: Q-q)-f 1 KbVy,- _y / x) <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: onknnr,irn <br /> Date Notified: 11Z2j(RI Time: nm <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business S • 9er) ices <br /> Contact Person: Telephone: ( Zea ) 943-20&2- <br /> Ph3sicalAddress: 2g41 T�yy 1�nve < d"CcHon cc�- <br /> E. DESCRIPTION <br /> Type Release: l ?nnu4h0r1-6eJ r-Plaale (IiS 'cworecf HUr(rq W-C- r-err il(a'I <br /> Volume: Unknnron <br /> Chemicals: Rnr���r�P rl�l re u a Xr 10_ �{ Tn frz 0 PP-br-d w m 1-I 44rncan ha- S <br /> F. ACTION TAKEN <br /> T�uf--Lwr- Stn DSS�-�;rman+ will rPcuircrl +nn nlv+2rrn nv `nO <br /> M--bAFe rAcer -f-nrv-) u�` <br /> EH 22 013 (Rev. 02/90) <br />