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r- <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> Health & Safety Code 4 25180.7 <br /> A. EMERGENCY LEVEL:/ I/ II I1I Health District Log I <br /> (Circle one) v <br /> B. SOURCE OF INFORMATION ,,��t�II <br /> Original Source: Muut(Gov ?wk*w'1 Telephone: <br /> Reporting Agency Name: <br /> Agency Contact: LAS L��& Telephone: ( Zo5) 68'TyZa <br /> Address: `l-6, svx <br /> C. LOCATION AMD DATE OF DISCHARGE Date of Discharge: <br /> Date Notified: ydG // Time: �'OOP�• / <br /> Location 966 64 �itlQ�i t piurrrc A,4 <br /> Best Physical Descr pt on ty or County <br /> D. RESPONSIBLE PERSON/BUSINESS 1 <br /> Name of Business: ZyV'7 <br /> Contact Person: / Telephone: (z:!iL) <br /> Physical Address: FIAO w /AA <br /> E. DESCRIPTION / <br /> Type Release: 1Ji 7jj <br /> Volume: Ae, ���"22x^ ti <br /> Chemicals: <br /> F. ACTION TAKEN�Gu:EI <br /> 2. <br />