Laserfiche WebLink
��. SAN JOAQUIN COUNTY (77) <br /> NOTIFICATION OF HAZARDOUS WASTE-DISCHARGE -� <br /> HEALTH & SAFETY CODE 25180.7 <br /> U <br /> A. EMERGENCY LEVEL: I II TII PHS-EH LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: Y Telephone; <br /> Reporting Agency Name: ' - -- <br /> Agency Contact: + Telephone: r------ , ' <br /> Address: - = i <br /> C, LOCATION AND DATE OF DISCHARR E <br /> Location: b I �Y' G 13` J <br /> (Best Physical Description) ity r Cou • - <br /> Date of Discharge: 0A � <br /> Date Notified: 142& I I � Ti <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business QV1'1�V�JLGLZI ���JLCQ <br /> d� <br /> Contact Person: �D� l� l Telephone: <br /> . v+'lt acrvLeY1 �t-� �� <br /> Physical Address: <br /> � on �� t �f�lr«a c1 <br /> E. DESCRIPTION <br /> Type Release: <br /> Volume: <br /> Chemicals: <br /> Gvcvrr�i ��es C 1-5"+e. fa,n v.Jeti ��fite.-► per,� - v1s o <br /> F. ACTION TAKEN Ob�e���ec{ tom.-•ins.-►�r•,a- soy! Ixcr,� hQULe -lf'Q! trs ass 3C <br /> (Wo <br /> - rs • need e c2 a <br /> ar_.�a (A1P�DVu •��+X "� �nfi1 v� e� �11•q.Lc� Lt2on. r <br /> EH 22 013(Rev. 02/90) <br />........,^., ^.�r•.w1.:a,...,.,._..f[rtr,?<rt._....7_.: r.,3i1":r:..................,., .,..•. ..:.,...�_... s....•.s...:}'r?:......................u:•}:n%:.ln•1e. ................... ...____.. ---. ... <br />