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S ` AY <br /> YOTCATIOY OF HLAZARDOUS COUNTYE DISCHARGEL E COPY <br /> HEALTH & SAFETY CODE '-4I80.7 <br /> A. ENIERGENCY LEVEL:( <br /> III PHS-E--i LOG T J f7' <br /> ( irc!e one) <br /> B. SOURCE OF INFORNLATION <br /> Name: S he- r Le)6n,�., Phone: (,Zq 6 6:Z- 5L,/ (9 _ <br /> Comnanv <br /> Address: <br /> Designared Empiovee Name: i Phone:Cao4 <br /> Reporting .Agency Name: <br /> Address: <br /> C. LOC_a ION AXD DATE OF DISCHARGE / <br /> Locaaon:,3 100 Ncw GDIz" Rct , 'sI L <br /> DC.K��C, <br /> !;Best Ph-sic=i Descapcion) (City o County) irc:e one <br /> Dace of Discaarge: <br /> Dare voaned: ¢,_ :une: <br /> D. RESPONSIBLE PERSONBUSD�ESS <br /> Name of Business: M O Ay,< K Lf o es <br /> Conccc P--son: Phone: .20'7 — O <br /> Physical .Address:3jf 0 O -S — <br /> Nlading .Address: a Q S G <br /> E. DESCRIPTION <br /> T}pe of Disc:arge: <br /> Voiume: c <br /> Cae-mcals: e o/ <br /> no <br /> C:rc.uns,:ncs: A. <br /> Th eNe, <br /> F. .ACTION TLAK..,I ebt <br /> 2411 X <br /> S,ILDISPOSITIO <br /> ed <br /> EH 22 0I, iRay. 03l'_0/931 <br />