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r ".� � <br /> zip' <br /> - SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: I II III � G <br /> (Circle One) HEALTH DISTRICT LO`G <br /> f B. SOURCE OF INFORMATION <br /> Original Source: _ yjC F V/Lf/ Telephone: <br /> Reporting Agency Name: cS9/U 1.7 JV/,v <br /> Agency Contact: Telephone: (.xiy ) <br /> Address: _ _ / wry a <br /> N C. LOCATION AND DATE OF DISCHARGE <br /> Location: /U Mrn <br /> (Best Physical Desciipt ) / (CityCor County) <br /> Date of Discharge: (fin <br /> Date Notified: _ /OL�,�,f� Time: { <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business /U(ISrii� �STONF /�'QO/('7S _ <br /> Contact Person: J LS' <br /> _ P/P�074/?ln Telephone: (Z' .513 Sb/S <br /> Physical Address: 16�a <br /> E. DESCRIPTION <br /> Type Release: <br /> Volume: <br /> Chemicals: �-� •� ��P�e F' �a�0 <br /> i <br /> F. ACTION TAKEN <br /> k <br />