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• ; CHI • • • •• �/a. <br /> HAZARDOUS WASTE <br /> MANAGEMENT REPORT <br /> b gra <br /> California 4250 Power inn Rd.,Sacramento 95826 <br /> State of f (916)739-3145 <br /> Department of Health Services 5545 E. Shields Ave,Fresno 93727 <br /> (209)2914676 <br /> 5850 Shellmound, Emeryville 95608 <br /> (415)540-2043 <br /> Date �� /71V 307 S. Broadway,Los Angeles 90012 <br /> (213)620-2380 <br /> Firm Name Idul �N T <br /> Address <br /> 6— <br /> / EPA I.D. No. lAlo <br /> Person Interviewed (A)a Af p <br /> The following conditions or practices observed this date are alleged to be violations of one or more sections of the <br /> California Health and Safety Code, Division 20, or the California Administrative Code, Title 22, relating to the <br /> storage, handling, transportation, and disposal of hazardous and extremely hazardous waste or asbestos containing <br /> products. The inspection and the collection of samples or other evidence, including the taking of photographs, was <br /> conducted under authority of Section 25185, California Health and Safety Code and Section 66328, California <br /> Administrative Code. <br /> Your signature acknowledges receipt of a copy of this report and collection of any samples described above. <br /> Authorized Representative of Firm <br /> Name 4�6 -15e LINJ Auth zed Agen <br /> T:•]e <br /> EH— ATTACH/i,ENT I Page 4 of <br />