Laserfiche WebLink
I I <br /> U�I <br /> • SAN JOAQUIN COUNTY <br /> NOTIFICATION OF IIA7ARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: I II III PIIS-EI-I LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: / id) hu)�5 Telephone: ( P(p 452 - 2501 <br /> Reporting Agency Name: 5x4'1 S0P1GKA0,1!U-OL t nuc- Awr,�ry ljc (Z,tLC� �c l�2oN L <br /> Agency Contact: �ftl�l�nS ScjJjryq rL Telephone.- (� ) C!(,g - 3ga t � <br /> P — <br /> Address: —10D. ✓zxv 2)09 nRg&,1nd G-4- 95201 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 4 01 0,gui(4c- AJC: <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: l�hJiLNOta�l <br /> Date Notified: S , is •q I Time: 10:00 z*- <br /> D• RESPONSIBLE PERSON/BUSINESS <br /> Name of Business LAtlwv,, LAk. S.S. -4�- Gggl <br /> Contact Person: t?rcv- Stsv- Telephone: ( 2n`l <br /> Physical Address: !j1oj 4kturic its' <br /> F. DESCRIPTION <br /> Type Release: JA4,j p,1 <br /> Volume: I <br /> Chemicals: (�Stlenr nt�a b} tianrt�srls <br /> F. ACTION TAKEN <br /> �6L�M�tJ r CflSrt (,�c.v,ra < fje�CtxZ� t W DIA i i Wlhl I KI <br /> G�IUiYI.S t (ruc1�L ry <br /> i �Icliscn irn NLfbO(11 !2J4 S <br /> _ ��✓L �b/1-1/, �Url :^ Q.z'J rn�O a'7i n'�I J�SIS'IL. � <br /> tiYl eHns ,Asrzx�Sru�Ua IJUa (Z. orr,7i!�i�J ar� �Ka,rt,itas mi-I,s <br /> b1A1..4AQTSYI[r` �-L�.ra�� <br /> l�cEa atM�n <br /> EI-I 22 03 (Rev. 7/89) <br />