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x117AL111 & SAl" I'Y CODR2SI80.7 <br /> A EMERGENCY LEVEL: I II III 4 ^ PITS-EI1 LOC # - EID <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source �(+���+Q J�^� ay,nTelephone: 4�U� ) %43 -,;1000 <br /> Reporting Agency Name: -, u 4 <br /> Agency Contact: r _ .(J Telephone: (-202/ ) Y6Y-3 r/-;- G <br /> Address: -1'i0. mix, a o r) 9 3�41 r ew,", <br /> C. LOCATION AND DATE OF DISCI-IARCI; <br /> Location: 1-P0 0 IV- ` / •��6 G&: 1✓\ . <br /> (Best Physical Descrip on) (City or County) <br /> Date of Discharge: /�� C'�t�r. �, r/Vt 1 <br /> Date Notified: Time: / L <br /> D. RESPONSIBLB PERSOl /BUSINESS ' <br /> Name of Business S 1`n sPn A <br /> Contact Person: Gczr�A Telephone: ( D% } C�3 -/a gCLQ --t <br /> Physical Address: _f 200 A/ r<r = i; c4, S <br /> >r. DESCRIPTION <br /> Type Release: —1�,�'1 %/ii <br /> Volume: Z-14t 0 <br /> P. ACTION TAKEN <br /> �4 o�til��„ O ('ten-�'i ��M, � .0 ('Qn��rn�✓r�!� � ��� r��-]�� <br /> a���l-C� <br /> i <br /> EI-I 22 013 (Rev. 02/90) <br />