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- -, �iP-=� �"�- :,�' :-tom '� '� -j _ - - v-`^R �, r;- _ � .y"a•,3' <br /> ChernicalslWaste Stored On-site: <br /> How many? Size? Chemical? <br /> [ I Drums <br /> Vats <br /> [] Surface impoundments <br /> [j Pitsrlandlls <br /> [] Other 1 <br /> Utilities location/ownership (Electrical,Gas,Telephone, Cable TV): <br /> History(worker or non-worker injury, complaints born public, previous agency action): <br /> Have citizen complaints been flied regarding the site: Yes [j No [y]' <br /> If yes,describe: <br /> Are regulatory ageixies involved with the site: Yes [j No [pr <br /> If yes,are, they federal [] state [] local [j? <br /> Regulatory Contacts: <br /> 7. <br /> Name ff A eery /! r Phone <br /> 044A.< <br /> rt. <br /> SF974"Clrage 6 - <br /> `,. <br />