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sa_v .roAQczv cotiNTY �� � COPYNOTIFICATION OF ELx7_ RDOliS w�STE DISCMA-R <br /> E[E_- LTH & SAFETY CODE 1-:130.7 <br /> A. E.".1ERGEN(7f Li�L(� Tlrcld <br /> II QI PHS-EH LOG = / l ' � O If <br /> one) <br /> B. SOURCE OF LNFOR-AA710N <br /> Name: L4_1_ "o f"I Phone: Flo y'._� `f✓fv P <br /> Compan,. <br /> Address: <br /> Desi�ared E:nolover Name: ( ?!lone: <br /> Rtoorang ATency Name: <br /> .lddress: <br /> C. L0C.kTION 0-D DATE 0FD/ '�' t t/ <br /> ISC:� GE / �1 <br /> Location: /,3 r , <br /> S • / ,� 1 (, CCS, S�O G <br /> i3es Physicai Dlesc::oaoni C: or Counev) Circe one <br /> Date or Discarrge: <br /> Date Nourzd: -7 -2 �' �Z snt: l l 30 G <br /> D. RESPONSIBLE ?EONB(:SI;+ESS <br /> Name or 3usiness: 14 <br /> ConL1C ?erson:_ - "u lvt2> / �'_j P�one:�?1 � G�7 0_ 3 <br /> Address: Lt7 ('fir��-c2 a..�N. L a ae 2c 9 LL,3,_ <br /> �Iaiiins S.daress: <br /> E. DE3CRu7 7ON <br /> T"-je or Disc:.arge:�i �/'f {�?�(. [°vYv t �'► <br /> V"oiume: rye ✓ / <br /> R u ,L _ <br /> C:rcu msc:nc= _P; ° f <br /> F. .-C i i0N <br /> c- <br /> I l '/ <br /> SITZ DISPOSITION <br /> ' <br /> -_ 'J 1. R )Y;:0/931 <br />