Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> NOTIFICi-ii ION OF HAZARDOUS WASTEL.SCH GE <br /> HEALTH & SAFETY CODE 25180. (� <br /> 0 <br /> A. EMERGENCY LEVEL II III PHS-EH LOG # qI ' 53 <br /> (Circle One) cin <br /> B. SOURCE OF INFORMATION J5 Original Source: Cconn�Vr;x s7- yss G) suI ��s �•r Telephone: JS 9 �— <br /> Reporting Agency Name: iv, CoDu,1 6 PlUW-e,4 Seryi ccs CN. 0- <br /> Agency <br /> Agency Contact: f l ec-gor 0 ,� �V. } Telephone: <br /> Address: VV S <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: Q`I'll Al ,vv Or. <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: ���-�n�✓� <br /> )t Date Notified: 3 - l 2 Time: <br /> D. RESPONSIBLE PERSONBUSINESS <br /> Name of Business <br /> Contact•Person: Telephone: <br /> Physical Address: <br /> E. DESCRIPTION p <br /> Type Release: <br /> Volume: 6 n �/Ioc✓� <br /> Chemicals: 4z 4 sd Ij�c <br /> F. ACTION TAKEN <br /> Ga50 ,L CAhcC �cS21 __C'b✓J��,r?r/IC�T7Jl c✓4s O.�r r'�y/J /1'Fif ��G/ J '� <br /> 7'4 e P XIrkl 14ir!/n.s fr on 0-5 �i�r ii�/CK �✓ <br /> +. 22 013(Rev. 02/90) <br /> t , <br /> •1 <br />