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Sa.N OAQL_LN COu=v� : =VV �O�v�L�+ i —A=L DIViSiON <br /> 571: i—:nA 7D SA=-- PLAN <br /> ?pRT T ?_ART II <br /> C_, A.L Si • 2,IFORMP=ON 7T-9LUA=QN OF ?O'r+uAL H-AZARL`S <br /> :. Site Na_+e: = Ce=iCais Wp^dS <br /> Address: +� tl— GirC1aP�^-S' <br /> Conk Person: °Fane •o. Cl CaLorves: <br /> Sweeps Number. >KDuss _ _: 4SL ,2� f r <br /> Proposed Date of rver;anoni=sae�an [ J ="r1On?��� <br /> f [not;`c Cases <br /> DesdDcos ane brie^-^<±ve afss�eeton ac=viry: 7 <br /> 1 Me=:s: <br /> [ 1 New US 1nr.�lacoa f J UP0.!.-�er�.zon I . <br /> ( 1 Tank C-'or=e in ?lace ( ] Tans/P De R flair <br /> >�Zan-k/Pipe R^=oval 17 '- -on (7 PG'r <br /> ( ] s-saSlamon of 3or=gs/Mor:korng Weils <br /> PART u: <br /> 3. Soe_^c Site L*or_accr_ O peO R<QTj= P`—RSONPt OT✓ 1� <br /> —k No. �_ -an:�c CaDacty / ) EQULoyLN <br /> Ctae* -- Vio^_tor-; :?cirra= (-ote: Mcterora; <br /> cu: be Sec for all, opera--.or., <br /> De of ODe^_^_an: Fess aDv--cr3L=nana!e ar?es C°L. =' <br /> 7rovide'_) <br /> Canbcr,�ie Gas/0--l-gem Mere_ <br /> ,fidesce of leaks/sail carer-4—^0r: :'� ( 'I NO 1 1 Dere=r 7,ubes (Sae_/) <br /> Crat=ewat= c. .Bacon:` % S [ 7 `iO f ; ?t=oion_=°n Jeer <br /> a6,—round and cies----or—or. of =7 ?rene^w_ _vestcga=ca C' Cr—saruc Vapor_cyte: <br /> or cde^_ce: h bz Tii�nLl, #oZ I J CLmer, rae=ry: <br /> [F=ani 0=g seem" are =at _semi <br /> r_,douaie or ac=vir /z-TMea reser c=ors: <br /> and Sa=erf <br /> P6yrci Canc Cce= ail ^•ar aD?i7 & cescae) <br /> -eat or Caid S=ess: °F (^iga a=pie^.=m:mD_) <br /> —Voile Sour-.e: o r�r. 0 n %L&-3, i 2 4°^°nai ?^ocecve =^apse^ <br /> �j C��= De=cce/ <br /> Level of? ote=an [JA C 73 i JCKI. <br /> D <br /> V---..�vacon: C•'<1, =:ps s noing Gvo-irs)--r&44k-�• �' d std bat <br /> 3 <br /> I 1 -analis, and rsfer of a ::a=rdous Sabse�nca: v >ZSate-q zsses/;ogoies <br /> eroicsiors, ecc-) ( J Scee, foed/saans woes or boos <br /> ( 7 Conned Soace ice: Cezpiosions) ( J r:ame retardant cove <br /> eavv eq==—r (Palm=' =j'Sy °.c _m�—/a-a resaiung ( _ [ J -ear=; �reccs <br /> _= Q vtiDn�r) r. .tlO WP'i . }72C /Lbw- ( 17 7vek <br /> Respirator, c�uie: PDR or SuA <br /> [J Safety vest <br /> Y. PnccDaced 3ioiagic -a=-s N o-nR ( I J+aY c°�^ roc <br /> Sra,Kesn [ 7 [=se= C 1 Rodents ( 7 Poisonous ?cants <br /> [ J Cceer/linIulown (spec_ry): ?a2= _N <br /> PLAN APPROVAL <br /> B. Narran've (provide ail s'or mrion which, could :=Dae He_lz�: LOqq <br /> Pi ?r^nzd by Jate �/ / <br /> end Safe y, g.. ?owe Les, '=�" ! �Y- ai s, rP^� 1V/(Q/ <br /> IC�e o c <br /> P!zADDrover by Dace: <br /> =_C081, CZ/7/92) <br />