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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> n _ <br /> A. EMERGENCY LEVEL: Plircle <br /> II III PHS-EH LO <br /> One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: / - .iPo1q1A60A2 Telephone: (RO ) `-S-/ 7�cj e,4�46 <br /> \ .� 1/0 ✓A) �D <br /> Reporting Agency Name: PSS " U��ON T ��� <br /> Cr <br /> Agency Contact: Telep ne: (.l ) <br /> Address: 1,9 .? <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 0-/3/ Ate/=iC_ fh/e l <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: �Jiy,�A�llkJ�t/ <br /> Date Notified: -2�-1�y Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business <br /> Contact Person: A9,U6�1-L Telephone: <br /> Physical Address: Za)/U oWrte'-i9ss `�o� Sv - P <br /> E. DESCRIPTION <br /> Type Release: �- <br /> Volume: <br /> Chemicals: <br /> F. ACTION TAKEN <br /> A-4 <br /> EH 22 013 (Rev. 02/90) <br />