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C4 <br /> SAN JOAQUIN COUNTY FILE t <br /> NOT'IF'ICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A_ EMERGENCY LEVEL: II III PHS-EH <br /> PircLOGY <br /> le one) <br /> B. SOURCE OF INFOf0 ATION <br /> Mame: c, Phone: wol;7:za —6 9 C)0 <br /> Company: ,+ Gip <br /> Address: <br /> Designated Employee Name: -, -, Q, �� Phone: <br /> Reporting agency Name: <br /> Address: <br /> C. LOCATION AIND DATE OF DISCHARGE <br /> Location: 1560 <br /> ! SSC <br /> (Best Phvsical Description) (City r County) Circle one <br /> Date of Discharge: A_7irl�-r� � <br /> Date Notified: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: 411c DO <br /> Contact Person: 61<- —Phone:62 <br /> Phvsical address: 13 Co C 111 <br /> yiailing address: tee,,- <br /> E. DESCRIPTION <br /> Type of Discharge: <br /> Volume: <br /> Chemicals: 7' <br /> Circumstances: <br /> F. CTION TAKEN <br /> i <br /> SITE DISPOSITION �1 yyz�%y <br /> EH 22 013 (Rev. 03/21)/93) <br />