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CONFIDENTIAL <br /> EMERGENCY RESPONSE RECORD <br /> DISTRICT 0_32!� _ DATE_�� ST 0-31Q <br /> PREMISE ADDRESS 3'910 Trtx 'RI'd $21 kra k1 T>gC�s <br /> DBA_ /ti�iP1 6 T <br /> PREMISE OWNER <br /> ADDRESS <br /> <Raj/rrH n E�/Nrmr, <br /> FACILITY CONTACT w/Jy 6A'fr <br /> Zp� E36'�j/t�7 /Qrcl< TMS ' �j/S Sys _g�00 <br /> NATURE .OF COMPLAINT Q/PS?% $p/J/ /t/ //gr« Jny q�•n �sy(/� <br /> dm/^*as�a�o//rt6 �iPsc/ f� �fcM drzrN <br /> COMPLAINANT AGENCY PHONE# <br /> TIME RECEIVED /0:9SA,ti TIME OF ARRIVAL TIME OF DEPARTURE <br /> PERSONS AT SCENE <br /> NAME AGENCY PHONE # <br /> RODP/>1F L Spon cpn �'�, d� �jere ' riVJiro Jinn��l(' /ie,/ L dcx-/a^ •2 d� .FZ6 /,c Y? <br /> CHEMICALS INVOLVED P uom /,o i/c0 ( /y e/sPse <br /> i <br /> PERSONS EXPOSED AND/OR INJURED <br /> NAME HOME -ADDRESS PHONE# <br /> REFERRALS TO�(/�J �,Ff1rlCQ�� DATE MAILED <br /> DATE COMPLETED: PROP 65 9�p�9� UAR <br /> INVESTIGATION <br /> REPORT. (include findings, clean-up,, and recommendations)p S O -Ow Its �Psr f -< vac411�1 onc 0- <br /> -1w <br /> _ r1�on� <br /> P n 4 DIAn Ri/iv rc./lc GN apJ <br /> 1 r� 5 i a/ - <br /> a , <br />