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x <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> Health a Safety Code 4 25180.7 <br /> A. EMERGENCY LEVEL: II III Health District Log f �6 ;za <br /> (Circle one) vv <br /> B. SOURCE OF INFORMATION a,,, 8A-Ug6d1^1 O. E-S <br /> Original Sour94;?- g(6,6k D. F. S. Telephone: <br /> Reporting Agency Name: 57 -%o O-F, s <br /> Agency Contact: W e se 1'2-)1A-r- -. Telephone: (b�eij <br /> Address: l/lalj 7 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Date(s): - 2-3 Time: 2% D U <br /> Location: _Z- 57 �^-� / 570 7 4 64- <br /> st Physical goscription (City or ounty / <br /> y00 i4-Go.vG- �i9�U:a-� <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: NO Q e <br /> Contact Person: ��,�_ 60!�. Telephone: ( ) <br /> Physical Address: A)rvx� <br /> E. DESCRIPTION <br /> Type Release: j'LLt1 <br /> Volume: _ lM�,`,c d,,�..�._ �(o o <br /> Chemicals: `^ U <br /> I ` <br /> F. ACTION TAKEN <br /> -�- .7( -� <br />