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v� <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> 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: �, . v. uypN <br /> Telephone: <br /> Reporting Agency Name: SfiJo�ohc0(1� (nc <br /> Agency Contact: • �,( . -rusp� Telephone: <br /> Address: P.O. qnrpI <br /> C. LOCATION AND DATE OF DISCHARGE <br /> t <br /> Location: /,�Z I i 7}+ aAr <br /> (Best Physical Descri tion) / ' Y 9P <br /> ' P (City or County) <br /> Date of Discharge: <br /> Date Notified: <br /> Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business (lL S RST /ltii � �N L14S <br /> Contact Person: -WIWAYK Telephone: (M) <br /> Physical Address: <J52 (nWc_(.t_ ((Lq� :5.3 <br /> E. DESCRIPTION <br /> Type Release: l.(�)G(�unimRl nt, aicise �1a11 �� �8{ty�oC <br /> ifi.Sk <br /> Volume: l (fJKN�� '� 7) 6-Au-off <br /> Chemicals : I I�1JI� CASOL4P :S <br /> F. ACTION TAKEN <br /> bL� <br /> NL(Z l i W R.I TrG-N Ino t��.�s i u n r Q9 U mA N RILLS S 1 TZ <br /> S�sSry�b� � � L�� Iu J ill 611�� hS ►b 7?tt. ��m�i ot- <br /> c� f%y.�l� 6{t. -(L(SI,c u�W kms-. C..ux.>Tr4,tit� A�►4�,ck� <br />