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SAN JOAQULN COUNTY FILE Copy <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVELO II III PHS-EH LOGY OO <br /> (Circle one) <br /> B. SOURCE OF INFORMATION <br /> Name: F 11 cly uz Phone: <br /> Company: R <br /> Address: 30 3 a C� <br /> Designated Employee Name: 1 0 mobibEd Phone: <br /> Reporting Agency Name: 1A ' - iV DIUISiD►� <br /> Address: 3p�1� E WP1�PXP�'1 � "(Vt lYo� E-10 <br /> D1r' LAGiSa-0 <br /> C. LOCATION AND DATE OF DISCHARGE V� <br /> � 1�C�ircleo�neOur,Location: <br /> (Best Physical Description) City o <br /> Date of Discharge: Mar 2$12oo0 <br /> Date Notified: ^,�!? _L,n 'L�,?IXXL Time: 1D.pOAM <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business:SOLAjol ka 1-lo <br /> Contact Person: YY Phone: <br /> Phvsical Address t<o_sSr)yL TRfl/,d Tra .v CA g53-To <br /> Mailing Address: <br /> E. DESCRIPTION LLnn,n��.,�� nn <br /> Type of Discharge: 1�XX��10S -�b MIA Al d <br /> Volume: <br /> Chemicals: <br /> Circumstances: ✓ S r <br /> S <br /> F. ACTION TAKEN t Dpb' 'e-tD Ayy�jc I�u o c( :p2 5�: <br /> SITE DISPOSITION <br /> EH 22 013 (Rey. 08/20/98) <br />