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0 <br /> SAN JOAQUIN COUNTY 0 <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> N k PLO jjv <br /> EMERGENCY LEVEPircle <br /> �r S-EH LOG # D <br /> One) 3 <br /> B. SOURCE OF INFORMATION <br /> Name• rAorlfs E: Phone: -7,WO <br /> Company: S J ro",4y !;Z, 6E -rib <br /> Address: 0. v -' c, ..) C•9 szo/ <br /> Designated Employee Name: Cha,-- scz Phone: (..:a) W-Swo <br /> Reporting Agency Name: 9.J-c RR5- -#p <br /> Address: %ys N. Som c%c7grasns - 5���k- � G4 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: S 6r� S,-6 ©c a A 0 A N q"-/A <br /> (Best Physical Description) (City r County) Circle One <br /> Date of Discharge: <br /> Date Notified: f r is` 9i Time: ~ 17?:rry <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: U. S. mti <br /> Contact Person: Jok v 6a--Zr,%Cfj Telephone: <br /> Physical Address: 11.-Mnosl 64 <br /> Mailing Address: sir ��. m-) <br /> ,tWe-,- A C? sfrilocrl�iew tQ.1,,4- G�PS7�' P. 0. ✓3ox 960Uc� / �k iv <br /> E. DESCRIPTION ��^`�� "°`'�" <br /> Type of Discharge: C�/,4 <br /> Volume: �v rw C!,O v <br /> Chemicals:SIV <br /> Circumstances: rmz& =69&iarz <br /> F. ACTION TAKEN Tn,-- <br /> 4z, -���t crf' P w•%Yrp:.r,s vt" RGri cr3 <br /> SITE DISPOSITION T Ni%�' _ S: Cts'.seSs ✓A <br /> EH 22 013 (Rev.4/91) <br />