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S,-,.N iOrAQL72i( C0UN YENVLRO?vN :AL ^-4L7E DLVIFLON <br /> SITE ;;maiTH .NL4D SPF tut PLkN <br /> ?ART i ° TTI <br /> Lr.inINFOR TiCN EVALIT CN OF PO'G'VTPS FAMARDS <br /> t. Site N2=e: �� r L /�Gt�yi3���� L GYe=ie{!s Fa=ds <br /> Address: Zv I MO- / 11 C.srcog=s: <br /> Conmcc P_rson: C — Phone Va_ Mea-W: i C I Cowes: <br /> Sweeps :Vumaer. C I Dusa- <br /> P-000sed Cate of bz7esdgadaa/' -7fOS E=iosxm: <br /> ('�B>..mas-. <br /> le <br /> Desdndan and brie;gar-adllre of ssoecoa acricy: C I ma n Gases <br /> ^ C 1 Yew UST L"xm'Ia=o= C 1 QAR ia7esdgadaa C I Mme: <br /> ( 1 -anis C:osure a ?race ( ] -ars/?me le?air l I C=diz=z: <br /> ank/?ipe Re^•ovai C I ye." �o>raa C1 PG'r <br /> ( 1instailadon of 9ors=V/Maaic=�mg Wei_Ts <br /> ?PRT [IT <br /> 3. Scec�ffc Site E-jor_adazL REQL= ?R.SCMALM=C-MVE <br /> ?zYk ,To. 7,v35'- 1 7=k Capacry: '�S EQUL°MEYL <br /> '72nk Conte:a- GA9 Tank ?;• rs <br /> Mo irar^g= axe= (=at: Yfor=mt�ag <br /> sa�eaa be used car ad o=-=ons <br /> ';peofCpercoru V/C,04 !"1essanentcre3canaaor i cons are <br /> arovided} <br /> R�ease :_stark sbirnie Gas/C=7g—_ Me= <br /> nde=c_ of?ems/saII canr�. >ron l I iO� C 1 :VO i 1 Dere=r-:lees CScec.7) <br /> -acu=-.^ted Groundwater canr>n myr4on: ( i as 7vd L 1 ?hOmiOni Can De!-"�.]'r <br /> 3actg a rd and dese_-pdoa of arty previous '=7esc#maa C I Cyanic Vapor?raiyzer <br /> or ^^C:denm- �CQ]�O.rtieer; speci7: <br /> :L ==I'm fig an int-=ed� <br /> 'anaie or acvir7/ar= -=cons: <br /> 5. ?o emm&i " eaita and Safe-7 <br /> Physj5d Con=s: Cc:eck ail tzr apoiy& descce) <br /> eat or Chid Sys: ^ °' Craigs M=in <br /> �Twoise Source: . AuC 2 ?-n-sonai ?rom--7e F--L#=e--- <br /> C 1 C=ygen Cedce=7 :.-mi of?-ore=as C]A ( I3 l?`IC C112 <br /> I=Vadoa: (fills, trips siinoia; a9rns) �x���ria�l CyHard liar <br /> aaaling and Transfer of a _=zr nus Sua<^nc= CX SALP-7 V:a /go&.es <br /> CEre, expiosions, ere) C7.(S.e_r aea/saank sages or boars <br /> C 1 Conimed SOac2 =T Ce%pioswns) C I eamecard=cover--LIs <br /> IHea7y 27VICIIIe-r (PirYT;G^i 'Il�jI�lI""j sc/Iu�� LT' 3 remiffig <br /> z. :=�_ = <br /> moving eaaxtl�_^.r) fNi.�/I✓�/ , . � O SQ.3. <br /> ( ] ddxe'. SJeC^J A/? G^dam- r M,C —A <br /> ( ] Sate-y lest <br /> 7. azddoared 3ioiogic_i ::az=^dr- C I 'NO-way <br /> 7Snakes C I Enseca C 1 Radena C 1 Poisonous ?lana <br /> Od:er/Umn mawa Cspecry): 75R7 N <br /> ?i_AN APPROVAL <br /> S. Varradve (provide ail afar..-aran which cottid mac:F=LC / <br /> and Safety, g.. ?ower Imes, Lnta�of dyes. Piz= P^?az d Sy r Cate: 7�/u/oJ <br /> ?ivy A?praved by. <br /> Dace: <br /> °CSi C2/7/92) <br />