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SAN JOAQUIN COUNTY - <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> Health & Safety Code 4 25180.1 <br /> A. EMERGENCY LEVEL: I II III Health District Log i <br /> (Circle one) <br /> B. SOURCE OF INFORMATION <br /> Original Source: Telephone: ( ( `) 2-3r, <br /> Reporting Agency Name: J T L f �•/� <br /> Agency Contact: laclt./ e Telephone: <br /> Address: l�0 D 7�D STk/J ��� 2,0 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Date(s): //I / Time: <br /> Location: q00 eU <br /> Best Physys ca Descr pt on ty orCounty) <br /> Eli <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: -X/ K"e" <br /> Contact Person: . �l/✓i�sir, ���� �� �M�ti. Telephone: <br /> Physical Address: 4061r�iti <br /> E. DESCRIPTION p vn <br /> Type Release: �Ui« � '< �� i °�' �� // li 4 Lx,- u, <br /> Volume: <br /> Chemicals <br /> F. ACTION TAKEN 4evz-�41 laer la dam-/l,v 4 7 Cb �,1por , <br /> % _/D,U�S• S �� /rx e� a aZ• qs' y�A7 li-k <br /> a ;Sv Ai. /&//v�� 7/4.K- <br /> 3) Gid dF /l 7e,.4 <br /> s1 _S S, T/eR[Yr P/C-7, ///t,4w G-YjJ Q/�0 / He <br />