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A U <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVE I II-A� PHS-EH LOG # L V 1-3`3 <br /> rcle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: 30 /� nf-Telephone: ( v9) V4;,P-_?wo <br /> Reporting Agency Name: - 2/a --0 5-c 14�/111 - �&,.<<s <br /> Agency Contact: Telephone: (,09 ) <br /> Address: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: _his���. �.:, / .��,�� r-4 <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: <br /> Date Notified: -4- Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business <br /> Contact Person: s -3 ys6 <br /> Telephone: <br /> Physical Address: <br /> E. DESCRIPTION <br /> Type Release: <br /> Volume: <br /> Chemicals: 1��r1,-��cso%,;o //�r��►.� �/P,� 1,/u�°-�J <br /> F. ACTION TAKEN <br /> G�rf�� /sem G c�ssi � z"W 114;111, ./o -,va 44<ce <br /> SlJ i+e le- <br /> EH <br /> EH 22 013 (Rev. 02/90) <br />