Laserfiche WebLink
SAN JOAQUIN COUNTY <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />HEALTH & SAFETY CODE 25180.7 <br />A. EMERGENCY LEVEL: l% II III PHS -EH LOG # <br />(Circle One) <br />B. SOURCE OF INFORMATION 32Iv <br />Original Source: 1, 61pbr To -f- i-116GS Telephone: ( 2°7) g3� - <br />e'o Kay.(�p40�c d-7 f401 -LY 5;v&41e_ ?.D _ 8o)( -,D relk,r64 �ts3'78' <br />Reporting Agency Name: <br />Agency Contact: "le <br />Address: a4(� l✓ <br />J! 5 -v,-- Telephone: (2L3) 415- 34� 'j <br />4.,l Tb.4 -5v RR EE0 T. <br />C. LOCATION AND DATE OF DISCHARGE <br />Location: 2 -0!5"0z? -Ai C -Y r)�l V C l <br />(Best Physical Description) (City or County) <br />Date of Discharge: <br />Date Notified: s12-2 Time: <br />D. RESPONSIBLE PERSON/BUSINESS <br />Name of Business %�c�GL r soGy�,� <br />" hone: Tele(20-7)X53.5 _ 32'�D <br />Contact Person: r ) o� 14 (G(rS P _- <br />Physical Acjdress: 2.0 90a PO4-z' P T (y E- <br />,'+4�1y� .9ddKss: Ro- Gov 6o -1 RA&, <br />E. DESCRIPTION <br />Type Release: L <br />Volume: "- 75 - /Oo <br />/lou S 2nI 5)5LoNO2Y c <br />Chemicals: <br />F. ACTION TAKEN <br />F��ConlTidiN�ElYrT ^- � S <br />EH 22 013 (Rev. 02/90) <br />