Laserfiche WebLink
14� <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE. _ <br /> Health & Safety Code § 25I80.7 r (- i <br /> 11 <br /> A. SOURCE OF INFORMATION <br /> =; -Company Name <br /> Contact Person: 7 <br /> Address: 4� <br /> Telephone; <br /> 8. LOCATION-AND- DATE OF'DISCHARGE"�`! <br /> d:ti45:,i'.'1. .1�'f�� ��'j,�.` ��,.i �� sib ���'k•,J� .s ti ";r ...ci i .3 i 1 a i)� `„}Y'-' ;J-' `�"{�i.E'; s. � � G <br /> tTime <br /> zr`� ++:� <br /> N I,:� !!�'� . .. -.:� ,� � :1 1i .., f t• .� - i 1•_�i <br /> PJ <br /> {I'7Location: '' /IW/// � <br /> ; Best Physical-,Description) =- City or County <br /> i <br /> 41i <br /> -3i 'LS i'". _ :i: 3:41 {. ='):: - _ `1,1 s_ ? ... r .. _n .; Jif d,, <br /> C. RESPONSIBLE PERSON/COMPANY: <br /> Name of'Company:,. <br /> i 'Contact_Person: <br /> ._ _. ... ,.�! 7 'L1n —.y., ..� ..-. ry' IS _ - ._.. � . I}irl r .. • .!fY i <br /> Physi-acal Alddress:, ,- A A, -- ' <br /> ..('..1y�Y <br /> r;!Jelephohe: ��,'. 3'3 %Z� ''= ��.i �, ' .^ �? - <br /> ' :;� ;,,� '.i �� i'l r..i ..1 ii„ ''1 .. ��.oli.:.�,ii�•;_. J.f`.7.=:.t _ .. .. � ..._ .. . � � _ 'a i .,'s. <br /> D. DESCRIPTION �f / <br /> Type Release: <br /> Chemicals: Z/r <br /> E. DISPOS TION ~ <br />