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SAN JOAQUIN COUNTY FILE copy <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL II III PHS-EH LOG# 0,5— 0 <br /> rrcle one) <br /> B. SOURCE OF INFORMATION <br /> Name: V i LK.i <br /> Phone: VI) 667' S2 5 <br /> Coman <br /> py: vwc+13 -A� Cor <br /> Address: SO-71 wf L6NdCr d vc i 41t1Mir CA 32N <br /> Designated Employee Name: vel F[4— Phone:L9 Ybf( <br /> Reporting Agency Name: N So4Qvf1 �o Euvf �n M�W�f I fLcA 1/ti 9�Of <br /> Address: 30Lf E to ebcr 4 vc T/nsnd aS'bvt.y h,,J <br /> a C: LOCATION AND DATE OF DISCHARGE <br /> b Esq, S M�K1A1i -I 4 / Lp jc, � <br /> Location: Ci or Coun Circle one <br /> (Best Physical Descn�on) (City <br /> Date of Discharge: ► °"v Time: '72'01 02'1 <br /> Date Notified: G <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> c/ 8 �wldvs�r�K <br /> Name of Business: SU Phone' � 321 <br /> Contact Person; SAfv�1 M ►JE �`� a3Jd <br /> Physical Address: 8 C K f410-7 ✓L- <br /> Mailing Address: <br /> !' LbKrO10 CA �1C370 <br /> E. DESCRIPTION <br /> Type of Discharge: .S +9LtL <br /> Volume: >wIJ <br /> Chemicals: �t <br /> Circumstances: r 7 f^ v F f/ k GbM+AfnM lJ�f D^ <br /> F. ACTIONVAKEN 0 <br /> SITE DISPOSITION <br /> EH 22 013 (Rev. 08/20/98) <br />