Laserfiche WebLink
SAN ,JOAQUIN COUNTY <br /> NO'T'IFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180 . 7 <br /> A. EMERGENCY LEVEL: C�1 II III HEALTH DISTRICT LOG # - 60;) <br /> (Circle One) / <br /> B. SOURCE OF INFORMATION / <br /> Original Source: t-7 1'1v �N/r Telephone: (70 ) <br /> w x " � <br /> Reporting Agency Name: <br /> Agency Contact: � �/fQ Ved Telephone: <br /> 11,47) <br /> Address: Z , C /(?4, <br /> C. LOCATION A DATE OF DISCHAR E <br /> Location: d /v /g L 0 6- V l'/ S_.—'-' L_! r_- <br /> (Best Physical Descrip ion) (City or County) <br /> Date of Discharge: <br /> Date Notified: Time: d <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business �dLCp NIAZQ &2,4fvT <br /> Contact Person: � 'L [� Telephone: ( ) <br /> Physical Address: ' G—iz -n/T S E' <br /> E. DESCRIPTION -t7ex -74 7/-v <br /> Type Release: <br /> Volume: 61A 14o, o A// <br /> Chemicals : G,�F <br /> F. ACTION TAKEN <br /> S6 <br /> c _ ' " - "' tom[/ ►'L.,T�VLvI ! - <br /> � S" -J-oQ � oIn Luca ( �feQ �-f�, p� Lot l � u�r-e- � <br /> o-Fcor� !�o A <br />