Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHAR'C�) <br /> HEALTH & SAFETY CODE 25180.7 vp <br /> A. EMERGENCY LEVEL.- 6) II III PHS-EH LOG # r/0 <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: 6��,e 6L,,c �i?AN%Si// Telephone: <br /> Reporting Agency Name: d L294141iv 6k,-14 IiUlle 4-s&-764 2-24//cd2 <br /> Agency Contact: Telephone: mss, V-2 r=3Vf Lo <br /> Address: -- P, 0, 94X -2- 00 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> � ,- � rig •�� ��e <br /> Location: 16 00 .; : W. �t a6 � �/ e-S4 9 376 <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: of,11( w� <br /> Date Notified: -2,12,6 ej o Time: <br /> D. RESPONSIBLE PERSONBUSINESS / <br /> Name of Business _ _6 " S 6:�E S ,52,2VIC15 <br /> Contact Person: �r�,02G� �i�kNl51#eie hone: E3 S <br /> Physical Address: - 00 In/ , D 1A G;H- C S3-76 <br /> E. DESCRIPTION <br /> Type Release: U h�— <br /> Volume: VNkk%own <br /> Chemicals: P +r»1 P u v,n /\V Ay-ocAK-�o ISIS <br /> F. ACTION TAKEN <br /> SD/'L S / itsaZVc f'piP Z'� 17-IAm /`ieLhovi Al <br /> aJ%�lJ hGeN rot�n� Pi S-TD��7AG rLLh`CS /'2/'f'1.OV2Gt' ON <br /> s,' 4 5-5e 55 kki f. <br /> 7/- C /,7 A-% ,G✓ <br /> Coh Al 917b� � ai:ee-cf <br /> EH 22 03 (Rev. 7/89) <br />