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` r 5 <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE O <br /> HEALTH & SAFETY CODE 25180 .7 <br /> A. EMERGENCY LEVEL: ( I SII III HEALTH DISTRICT LOG <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: Zz�t t, It C'e-Cup, Telephone: <br /> Reporting Agency Name: <br /> Agency Contact: Telephone: (Z�} ����3t/.LO <br /> Address: PC)- &),X 2-001 5;eoC,64 J ICA <br /> C. LOCATION AND DATE OF DISCHARGE/ / <br /> Location: / �q_30 / IDD J . <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: <br /> Date Notified: 3LIe 80 Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business Z)CL.7`; a <br /> Contact Person: L Telephone: (Z4) MeqTSJ <br /> Physical Address : <br /> E. DESCRIPTION <br /> Type Release: Lj.6. T. <br /> Volume: <br /> Chemicals : G <br /> F. ACTION TAKEN <br /> �� <br /> zi <br />