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e <br /> �;�N JOAQUIN COUNTY 1 `. <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH &. SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: �'II III IPHH4G # 1 T.) <br /> {Circle One} <br /> B. SOURCE OF INFORMATION <br /> Original Source: _Schl Telephone: <br /> Reporting Agency Name: va <br /> Agency Contact: C`�wa Telephone: <br /> Address: v5— iv, <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: . . Go�r�sP <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: ��- <br /> Date Notified: /,,—z Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business <br /> Contact Person: /��—�W ,, N Telephone: ( C2 D <br /> Physical Address: <br /> E. DESCRIPTION <br /> Type Release: Le 2 e—eZ, -- <br /> Volume: �� — <br /> Chemicals• xvlKv ��/6Ps�r�, P. <br /> F. ACTION TAKEN <br /> ff Cr c a ICE ZCZ�=P /P <br /> 15 Lt r � <br /> l� � FCC e-S S' <br /> acr1t,-<41 e-11' C'C217 11,7e, -e;, e,- <br /> EH <br /> rEH 22 013 (Rev. 02/90) <br /> c <br />