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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> Health & Safety Code 4 25280.7 <br /> A. EMERGENCY LEVEL:. I : Ii IIi Health District Log # 0 L <br /> (Circle one) <br /> B. SOURCE OF INFORMATION <br /> Original Source: At4otp w L 14 Telephone: ( 7 14 ) S <br /> Reporting Agency Name: Pr2R LI C-X� <br /> Agency Contact: Telephone: 0/6) 2Zq01 <br /> Address: X17 �S M 1'ss�r� 6L-W) e ,e. o P,-r G�- <br /> (�ia <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Date(s): Time: �j !4 1" <br /> Location: <br /> A� TLiNF fid, FAA&Y, CA- <br /> / City or my <br /> Best Physical Descr p on <br /> 7 <br /> D. RESPONSIBLE PERSON/BUSINESS r <br /> Name of Business: �G 0 {-D S i,r0 I,1 I"1 <br /> Contact Person: Gf 13�P-� Telephone: <br /> Physical Addres �D -7,C <br /> E. DESCRIPTION <br /> Type Release: D ZFD PSS <br /> Volume: o w^f <br /> Chemicals: /I'10Ta/L �e <br /> F. ACTION TAKEN <br /> o n� �r o -�' �a�v� (� �`a.� S r S <br /> F vo nd � v tea. S(.ti.a�s <br /> Q, &A Cern A .,-,A <br /> A-N 91• -r a 5 5,e 5 S frn r w�- - -� p-c^f-0 r VA eA <br /> f _ <br />