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It <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180 .7 <br /> A. EMERGENCY LEVEL: O II TTI HEALTH DISTRICT LOG # -03 <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> -pe 1 -a. G n u i az F3+n\ev\4-0,-1 <br /> Original Source: U,�5„-(- -}S .-rnG '�,��v2� Telephone: <br /> Reporting Agency Name: <br /> Agency Contact Telephone: (AO? <br /> Address.- /&0 � � , � ,e(d�9� �t,�(e �ti 9,5- <br /> C. LOCATION AND DATE OF DISCHARGE 1 <br /> Location: _7C110 <br /> (Best Physical. Description) (City or County) <br /> -fc Date of Discharge: ,kms\Cpno-k,_ <br /> Date Notified: 00 <br /> _ a�l� �U Time: / a <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business <br /> Contact Person: , p�cLuc� � Telephone: (�-/5 ) <br /> Physical Address : 7920 �cJ2v p Gt w� 4aol <br /> E. DESCRIPTION <br /> Type Release: um <br /> Volume: <br /> Chemicals: ZU Z-1 <br /> F. ACTION TAKEid �d � E� <br /> 51 <br /> a - a� <br /> 4k- /1 D Cot �� e spa U <br /> a <br />