Laserfiche WebLink
.0 <br />SAN JOAQUIN COUNTY <br />C NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />HEALTH & SAFETY CODE 25180.7 <br />EMERGENCY LEVEL:C)II III <br /> PHS-EH LOG # <br />(Circle One) <br />SOURCE OF INFORMATION <br />Name: --57,41 eooK. Phone: (477) 67 / <br />Company: -4/e"-/--- c.2. <br />Address: 0. /5c2x <br /> <br />Cc C-47•2 ciq <br />Designated Employee Name: <br />Reporting Agency Name: <br />Address: S 4"-i 6.("c34Z2__ AKE. <br /> <br />Phone: ( ) <br /> <br />LOCATION AND DATE OF DISCHARGE <br />Location: -g 4// f-r4(A.1 / RfAvk <br /> <br />(Best Physical Derscription) (dir County) Circle One <br />Date of Discharge: ///3/ <br />Date Notified: ./AA71- Time: z <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business: '- O/L 4L7 <br />Contact Person: -7-1:24,ci Telephone: (Sco) 6,75 -6 ce/- <br /> <br />Physical Address: <br />Mailing Address: <br /> <br />,04;-' 0 • 43 OX G/t, Z.- 22 ea& Go.e_Z3, <br /> <br />DESCRIPTION <br />Type of Discharge: i <br />Volume: c,y,i)e-,Lic <br />Chemicals: <br />Circumstances:_s-/4--44._ orz /j477--/22) C7 <br />ACTION TAKEN 44/./.-e" 47:54" 2r,-1 <br />-7-WE Z.-(4/6 51.2e / 7,R 7 Lc::63 <br />,f44 Ar7< 6 41 <br />SITE DISPOSITION Cattl--,---rez-. /kis AZ,1 /14 s <br />A f /G7/2frd444j1 .ce.,/e- j3c7 7-71 7.74 f <br />"-r e.--/4 4 4e -2:- ft-c. e0 . • <br />-7-25 -7fr:Z€' /7.7 <br />EH 22 013 (Rev.4/91)