Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> �� <br /> NOTIFICAw ',, ASION OF HAZARDOUS ; ..DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL-0II III PHS=EH LOG'# 9� / <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: 5,9,V SG,r /PS Telephone: <br /> Reporting Agency Name: -��� oc��u%� ou 5/ic /�eU/fes SP/✓/fPs <br /> Agency Contact: Telephone: <br /> Address: <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: /'off sc��o�d Ste- l �roo� G9 �s3�G <br /> (Best Physical Description) (City or County) <br /> Date of Discharge: erw"ez owl <br /> Date Notified: Time: <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business <br /> Contact Person: 6, 4. T`,e,-r -, Telephone: Q� <br /> Physical Address: <br /> E. DESCRIPTION <br /> Type Release: <br /> Volume: efs <br /> Chemicals: 44/P" M/lec—z <br /> F. ACTION TAKEN <br /> M ff scU� /HCFC/ .�6 44 SJ � SG L�/P I�PSL��1 7'727/n �Lt rt rE <br /> r i <br /> L x;11y <br /> P/JL l,/iY G.7 QlyclGw •� f+' r/..W <br /> Sar <br /> EH 22 013(Rev. 02/90) <br />