Laserfiche WebLink
s <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH b SAFETY CODE 25180.7 <br /> E' <br /> A. EMERGENCY LEVEL:© II III HEALTH DISTRICT LOG # , <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: f'�. . � Sox) Telephone: (M-468-544 <br /> Reporting Agency Name: , /fto <br /> Agency Contact: Telephone: (ID9 ) -Sqg <br /> Address: w0q• <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: aA-CY 95.3'x{0 <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: �.11w")OO <br /> Date Notified: 0?5-0-S93 Time: <br /> ( D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business <br /> Contact Person: �, S frQ� Telephone: (901) --� <br /> Physical Address: X523-Ito <br /> E. DESCRIPTION <br /> Type Release: <br /> (,( )Aa ntD k tas <br /> Volume: (Ii�KN©t�J � i_ ( � jV t�Uc L�LLO0 <br /> Chemicals : ( ' 401'3 CASOI. ijt::- <br /> F. ACTION TAKEN <br /> b� Sj t*D <br /> ►J'-Q <br /> 1^-11 <br /> lu�bSTtt4AZ"w hS 'fb lift L')c1F�r ot- <br /> t c. /fiuD�9R -(Z,fsLtt,�Wim_ C.au 7Y4rrl� ►fin <br />