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SAN JOAQUIN COUNTY <br /> FILE C <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVE TI )II III PHS-EH LOG T - a <br /> ircle one) <br /> B. SOURCE OF rNFOPUMATION <br /> Name: KoY� Yy'1 lrU l ' n i Phone: (Iq (47y- S ,S <br /> Company: :roe_ rY\a rr,h e S o-H 4 <br /> Address: 2-RN S r VI <br /> Designated Employee dame: Phone: <br /> Reporting Agency Name: <br /> Address: <br /> C. LOCATION AND DATE OF DISCH.-\RGE <br /> Location: �Q �S i F`eo� Ca,v ti p V� ,co- <br /> (Best Physical Description)) (City or unty Circle one <br /> Date of Discharge: <br /> Date Notified: a - L+- X0-7 Time: I •r►'I <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: �de0. -eso Cpm-na'7�1 T�1C <br /> Contact Person: l�On ma rG�^� /l1 Phone: 0.010 q7�(- <br /> Physical address: �- 1� � is �C� C� �� � � ����Lu C11 �5 <br /> Mailing address: <br /> E. DESCRIPTION <br /> Type of Discharge: S <br /> Volume: DO SD L bY�S <br /> Chemicals: <br /> m <br /> Circustances: �- a Z CM <br /> b 0 Kull <br /> re r r< 0 n e ln. C I -e, o a so <br /> F. ACTION TAKEN UuveA an tS o unA�6 <br /> c� r <br /> I <br /> SITE DISPOSITION <br /> �► s O5� - <br /> EH 22 013 (Rev. 08/20/98) <br />