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Y IJTVY COUNTY <br /> CoPy <br /> YO'i'IF'(:A71OLY OF aAg-kRDO 'S WASTE D[SCgARGE <br /> =_ -LTH 3c S TY C ODE '-130-7 <br /> s O � I <br /> �. E�,MRc�c �. <br /> Y ��:Q � � PHS-7—H Loc <br /> (C'Lrc=e one) <br /> B. SO(,RC- Or 2,-,FFORtiIUJION i <br /> �i ane: <br /> ?haae: {]6� <br /> Comnanv' Lt ..� " <br /> �ddrsR�o $,d C CL 3 <br /> DE:nplove=yame: Le--717' ,a-, r �` ?isoRe: Ca04 �� '-: i'`f <br /> esigsared _ <br /> I <br /> Repordn, geacy Name: <br /> Address: i <br /> DA—1r. OF'DISCI.-LARGE <br /> i <br /> C. LOC�TiO`! .sSND - c <br /> Location: .3 <br /> ($ �"51CIL De.S�:.fpC[OQ) Cic� r Couur•) Circe one <br /> Dare of 0lsr.m'==: <br /> Date Nod�.ed: r;mC:_ -5,1`OOa in,_ <br /> D. RESPONSMLE +-ESS <br /> 'Name of Business, � I ` e,r p r f _ <br /> ConC',G ?COQ: ?fioIIC: 5 4 <br /> E. DES C. MN <br /> T�'ae ar Disc:�e: <br /> Vc iume: ' <br /> C3e:ii.=s: G` <br /> C:rcurnS"....IICts: L cL <br /> J <br /> F. ACTION TAiC N <br /> SITE DISPOSITION <br /> LO!3 <br />