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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE25180.7 <br /> A. EMERGENCY LEVEL: II III &LTIISTRCT LOG . # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> 9 <br /> Original Source: Telephone: <br /> Reporting Agency Name. q <br /> Agency Contact: [ 4-tu---&4 Telephone: (Zd <br /> Address: . U 13d9 <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: d �. <br /> : ; . . (Best Physical Descript' on) (City or County) <br /> Date of Discharge: ' 'V)- y w. <br /> Date Notified: /0404 Time• Orl, <br /> D. RESPONSIBLE .PERSON/BUSINESS <br /> Name of Busines' s <br /> Contact Person: Telephone: -O <br /> Physical Address. Z vvU Y' lGt� i <br /> i <br /> E. DESCRIPTION <br /> Type Release: 2� <br /> Volume: <br /> Chemicals: <br /> F. f ACTION TAKEN <br /> J <br />