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7-31-1998 8: 13AM FROM p- 2 <br /> SAN JOAQUIN COUNTY <br /> NOT[FICATION OF HAZ F0OUS WASTE DISCHARGE JUL 3 <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: I R III PHS-EH LOG <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Name: L--(!z, Br, 1 q c 5 Phone: �`��✓�z�-3 �/ g <br /> Company: _— <br /> Address: <br /> Designated Employee Name: 'a-- Lr s Phone: C � <br /> Reporting Agency Name: <br /> Address: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: µ I n n <br /> (Best Physical Description) (City o One <br /> Date of Discharge: Lc9 Kh �s <br /> Date Notified: _'7 —E 7_ t 7 Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business.• ��J C <br /> Contact Person: �C'P_i>>> / Telephone: <br /> Physical Address: <br /> Mailing Address C- <br /> E. <br /> E. DESCRIPTION <br /> Type of Discharge: <br /> Volume: <br /> Chendcals: <br /> Lances- y g <br /> # a - <br /> F. Arsn <br /> ON T� CcUc.G 4vt. <br /> J , Z <br /> SITE DISPIOS1710Ni <br /> 1 <br /> EH 22 013 (Rev.4/41) <br />