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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> Health & Safety Code 4 25180.7 <br /> A. EMERGENCY LEVEL: I iI III Health District Log # 07-7r "77 <br /> (Circle one) <br /> B. SOURCE OF INFORMATION <br /> Original Source: &4t> F� W _jAe Telephone: <br /> Reporting Agency Name: e 2 L.i ' r�- S kS S <br /> Agency Contact: Telephone: <br /> Address: i LyBL <br /> 9 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Dates r Time: ; 10 PA4 <br /> Location: oaR vI T <br /> CA- <br /> (Best Physical Descriptfon) (City or my <br /> 9�3 7 <br /> 0. RESPONSIBLE PERSON/BUSSINESS <br /> Name of Business: 0 LD S +�r0 Lj t <br /> Contact Person: G l4E� Telephone: <br /> Physical Address: C9'/214 R� �iQG <br /> S37 6 <br /> E. DESCRIPTION <br /> Type Release: D Z/,-- <br /> Volume: <br /> FVolume: aG✓� <br /> Chemicals: mUTO/Z- V<-t-ttc le <br /> F. ACTION TAKEN <br /> n +rpa2al o <br /> VPd k v a stAx r-JS <br /> u Cam A W o e- <br /> � e r A 5S eSS yv+{,,,,f -7 r ^4�0rVA to , <br />