Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 2518U .7 <br /> A. EMERGENCY LEVEL: i i 1'I I HEALTH H DISTRICT LOG $ <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: Telephone: <br /> Reporting Agency Name: <br /> Agency Contact: , Telephone: (221) C.f (� �d <br /> Address : � . '�00 r/9 �.5'aU <br /> C. LOCATION AND DATE OF <br /> 1DISCHARGE <br /> Location: <br /> / S a-vi �Ce <br /> (Best Physical Description) (City or C nty) <br /> Date of Discharge: fit, Y <br /> Date Notified: _ 615 ! Time• TJ� � <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> F Name of Business <br /> Contact Person: ( _da7aC1NonTeiepinane5a3 C� <br /> Physical Address : <br /> E. DESCRIPTION rn D GAP 5�1-p� ��c`- <br /> Type <br /> Release: <br /> Volume: <br /> Chemicals : j} <br /> I'. ACTION TAKEN l,.tt.�j S o-c.�� f'P. &-cc,��i -�'�'v�w T44 K <br /> i1 r'P�ryi-cry cam_ <br /> 07'v <br /> ad4 4e <br /> _ I <br /> I <br />