Laserfiche WebLink
SAN JOAQUIN COUNTY- <br /> NOTIrQ MON OF HAZARDOUS WASE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL; IT III H-S!MUOG a <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br />� pN <br /> Original Source: 7- OM„ M SW�L/A N O Telephone: - d <br /> Reporting Agency Name; GIiN v� z V76&.5 <br /> Agency Contact: Telephone: (- <br /> 2 <br /> 4 <br /> Address: . O o o D �' v G L r,J <br /> LOCATION AND DA'L'E OF DISCHARGE Al ,-/1l D/ rCI,7 N � <br /> Location: 1'7!�- <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: 0M vj <br /> Date Notified: - D Time: '. 08 <br /> D. RESPONSIBLE PERSON/IIUSINESS <br /> Name of Business M 4" iG nl(r C o u�/c }-t�O�L_ <br /> Contact Person: 77-�rvt ctrl A&A &- Lr'AN 0 " Telephone: 3--� <br /> Physical Address: o� o�✓ S�4 <br /> } E. DESCRIPTION <br /> Type Release: CA4 <br /> Volume: L o - <br /> Chemicals: a L aoer o ca R,4 a nes <br /> F ACTION TAKEN <br /> b r r YL er�rC {2 m r v� <br /> A- <br /> 0 <br /> EH 22 03 (Rev. 7/89) <br />