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D. RESPONSIBLE PERSON/BUSINESS <br />Name of Business: Ce_,-v1_4-LeL Yi/Lc4A-&-tr., 6c, , <br />Physical Address: <br />Contact Person - 6?, Ce•C'1-) PC,W 4/1 Telephone: Liz. <br />mPilin g Address: <br />I L.( <br /> _5- P <br />Pu44470 J. <br />ACTION TAICN <br />4O)-•14 IrLo-f7L-b yfrt.1/- <br />DESCRIPTION <br />Type of Discharge: <br />Volume: fiAti <br />Ciiernicais: IT i <br />Circumstances: <br />SITE DISPOSITIO <br />_ _ <br /># (I c./7 <br />-.5 <br />, <br />cal <br />SAN JOAQUIN COUNTY <br />NO ill-i.C.ATION OF HAZARDOUS WASTE DISC-IARGE <br />HEALTH & SAFETY CODE 25180.7 <br />A. EMERGENCY LEVEL: I II <br />(Circle One) <br />3. SOURCE OF INFORMATION <br />PHS-EH LOG # <br />Name: p mi. 44 <br />company Phone: Cfaijr_ : Pp1.1 rr <br />Address: Q ? 7Oct-ctL (.0 CP Designated Employee Name: c---Fr S Phone: 90 51 'Po e Repordng Agency Name: <br />Address: <br />C. LOCATION AND DATE OF DISCHARGE <br />Locadon: I /If eu-,-1,c0,) <br />(Best Physical Desaiption) <br />Dare of Discharge: <br />Dare Nodlied: C. t I C( 9 7 Time: <br />,S7LO C-- <br />C-Cf-Tholty. r Cowart) Circle One <br />e 1-b_! /Z-1-Z , _21 f <br />EH 22 013 (Rev.4/91)