Laserfiche WebLink
SAN JOAQUIN COUNTY ' <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> C HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: II III HEALTH DISTRICT LOG <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: C-v�c �'��A14.� Telephone: (416 <br /> Reporting Agency Name: S4.- VOI�i�V�N Le�..� "c. AL, <br /> Agency Contact: oay1 G� cotAs Telephone: ( 20S ) q&y-3yyo <br /> Address: ((0O1 C . µgaal�� P.o. `�o,c 200"1 S�o�1��... C.!{ 9SZo � <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: IS- <br /> (Best <br /> S" (Best Physical Description) (City or County) <br /> Date of Discharge: <br /> Date Notified: - 31g- '8Y Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business Food S Li9..or <br /> Contact Person: Telephone: (-4---f) <br /> Physical Address: Is W . (oro-.�1��.c �d -T„tc A 9 53 6 <br /> E. DESCRIPTION <br /> Type Release: - (/ha v-"ho r-i zco, ae(e0.5C <br /> Volume: <br /> Chemicals : 1�'`'�.� (2.¢Trol E..,..� (f..Na.10 C-~✓ ,O.% L'i9u�e...2 <br /> � d <br /> F. ArrCTIO1N TAKEN <br /> J <br /> J <br />