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�.. SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180 .7 <br /> A. EMERGENCY LEVEL: I II III HEALTH DISTRICT LOG # <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: ��/�f�/L� Cdt�C�L Telephone: <br /> Reporting Agency Name: J •�• �' • ` �' <br /> Agency Contact: /_Oxt t,A._ Telephone: ( 26"1-) q( 3(/„Zp <br /> Address: 2-oOl yee—)c&xl�J SCA <br /> C. LOCATION AND DATE OF DISCHARGE / <br /> Location: I F>q3 o <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: <br /> Date Notified: 3 /e88 Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business <br /> Contact Person: Telephone: ( 2,017) ��� <br /> Physical Address: )-60,(-- -J ..Q �/✓� lam/,i� <br /> E. DESCRIPTION <br /> Type Release: ,LQ�,,�,., ��•O•-�•T• <br /> Volume: t, <br /> -� Chemicals : G <br /> F. ACTION TAKEN <br /> AZI 4 A.11j 1vz4_e.1'_4 <br /> au t� 69tau, <br /> l <br />