Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180 . 7 <br /> A. EMERGENCY LEVEL: 1I II III HEALTH DISTRICT LOG $ J / <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> ,� n� <br /> Original Source: %G==�" (//J� <br /> 1ty Telephone: <br /> Reporting Agency Name: �3Z-1 cV , &u L ,(�pszl �-CAI �aJ <br /> Agency Contact:: Do, ttvia �-( 2iLty� Telephone: `/U3 Zp <br /> Address : <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location:/333 F, �i!/1h�ti /, / 4pd' <br /> ----- ---__- -- <br /> Date of Discharge <br /> �/:�� ryi/ <br /> Date Notified: /�ZO%�J 3UA • <br /> Time: <br /> D. RESPONSIBLE PERSO\N/BUSINESS <br /> Name of Businessc (wLce�i �u /SP6$a� ( J <br /> Contact Person: � � o �� 7 <br /> Telephone. ) 56742- <br /> Physical Address : Z= 5 <br /> E. DESCRIPTION <br /> Type Release: _,?,, <br /> Volume: _1zj,4s C <br /> Chemicals : 4Z <br /> F. ACTION TAKEN <br /> /-S000I e-� a.euT., /i��, Tem <br /> /u ca` GG«r <br /> aj�,�c , c c n 7 ?o o f <br /> 1�e-* w , <br />