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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: II III Coll <br /> STRICT LOG # <br /> (Circle One) 6 <br /> B. SOURCE OF INFORMATION <br /> Original Source: L/'(E'�(/1Cv �G Telephone: <br /> Reporting Agency Name: <br /> Agency Contact: LIau,,,w ( ��tc.-�r(�, Telephone: (ZDI ) Y6cY' �y <br /> Address: FU&/� )"01)-/ <br /> C. LOCATION AND DATE OF DIS�CHARGE <br /> Location: <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: <br /> Date Notified: /obi N Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business 114 -a <br /> Contact Person: Telephone: <br /> Physical Address :- U2 000 G,,,,u � �� ,,Y S4. ,5&� <br /> E. DESCRIPTION A/a,"Type Release: ��� <br /> Volume: <br /> Chemicals : <br /> F. ACTION TAKEN <br /> �s� ��� w <br />