Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> NOTIF \TION OF HA7.ARDOUS WAS' DISCHARGE <br /> �- HEALTH & SAFETY CODE 23"Loi°d.7 (a <br /> A. EMERGENCY LEVE H III PHS-EH LOG # C-1 n' a o <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: CLnrpP l-4u,-�— Telephone: (,Zo ) q6?--3yy0 <br /> Reporting Agency Name: S1I�K,ulN CetiI,r, <br /> x,41 S- y-rfs <br /> Agency Contact: _L bjr,r/FY Yz,, Telephone: (22/ ) x/68=3z/Slq <br /> Address: U. 91-Y 95.201 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location:-2y31 E n-far,p,wa, Thr 9-tkN / _ S'/o<k nN C,4 <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: L LA-1u�) <br /> Date Notified: ee-)420 Time: 3:30P^^ <br /> D. RESPONSIBLE PERSON/BUSBXESS <br /> Name of Business —&t) Q-a <br /> Contact Person: _ R;q NPotwY„v Telephone: ug9yl —R 6 <br /> Physical Address: -y3! F- /Vhcf ,�:Ct / S;41<r-1 <br /> E. DESCRIPTION <br /> Type Release: - 14A2 <br /> Volume: U,0 <br /> Chemicals: Pe-En E1422ra"rarh:Nr <br /> F. ACTION TAKEN / <br /> r-PUr„1a Gv`i1 ('n..,-1�,.y�e1x�70r> <br /> de'7( /'OknlMe Af A/Afre <br /> �^„elcrfen� rrr�.vnPs <br /> EI-I 22 013 (Rev. 02/90) <br />