Laserfiche WebLink
0 SAN JOAQUIN COUNTY* <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVE LF Il II IIl PHS-EH LOG # _ 2C) - 3 <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: NAC, Ho it Telephone: (,2()9 ) e/LV 32!yo <br /> Reporting Agency nnName: So—_Ijor«�u N fnu 4 pu6b qeo}{l <br /> Agency Contact: l'�kt+' SUN- Telephone: (.2DL) x/67 -3yyo <br /> Address: yy S ni Sa> �or�riu t,J 1 err kFr , P�9 9S 2 oa <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 1,,�rscr4'i w d F AAer c43 <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: 10/2900 <br /> Date Notified: 1001 qo Time: 2 ' os '9,M, <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business ( Imo. nX k•`f— D 1 f('CWrr s <br /> Contact Person: �� p, �;� Telephone: (gm, ) _ 9yy gay/ <br /> Physical Address: /VES L,Nc-( t ",310 00" r,q <br /> E. DESCRIPTION <br /> Type Release: UA tz <br /> Volume: 410LM)rM4-P1 , ;2 p 901 f) ,, <br /> Chemicals: Gry;o11Aj aN t w5x�r <br /> F. ACTION TAKEN <br /> Los br�� <br /> So (�1�aV�s {rov rcrrra (n/afrr aNnf grrs <br /> r/ /hn bew r'e l�Pr�i1'� 9Ms/ Zw95 <br /> works_ q e� (nnullc/ /Herr rerPOrt llal1 /!- <br /> l//?./ �rfltr+r C,F pS t5 lnP (Ni/� lac <br /> _L3�")r/rrR'A -Fo rje�»rrmrNe. -}hp ��+� re ani-/ Fr-fc '� rr{ t'Or�'{tfm •*�o� rx rw rurr/t-� <br /> �i �(� at7r�1.nnfvfi rPr�,�lr�M1r ()ciP,uni2 <br /> EH 22 03 (Rev. 7/89) <br />