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COMPLAINT FORM , <br /> ( ) CONFIDENTIAL Action Date/Time B <br /> Ref. No. <br /> Received k4/,_ �`\ 1a3, 2P <br /> Priority <br /> Assigned <br /> Received From AGAINST <br /> Name ;� „� AAILif Name <br /> Firm j gcAddress <br /> Address <br /> Phone <br /> Phone /7"(/ 9 g 11 County <br /> HAZARDS: <br /> ( ) PUBLIC EXPOSURE ( ) FIRE ( ) WATER CONTAMINATION M EXTREMELY HAZARDOUS <br /> Agencies Notified/Referred to: ( ) Cal-OSHA ( ) REGIONAL BOARD ( ) LOCAL AGENCY <br /> ( ) AIR RESOURCES ( ) OTHER <br /> Complaint: ftd, AARCS kA S O-em ia4 0w A Pc B <br /> ti 'k/ rm,;�� — <br /> (� l A45t uA\Vn A71- 2) l�_ �:,T L�� ►s-t <br /> 14'InRy C>C_,4 C OL A / 2 ,A-S-L c <br /> .� 1_�-►�T_�i4�� S�t 1,r� �ERS rr►en� s�=Ro��s ��y i.?r�tc''�+ s��c t �'�-,c�f <br /> A(I-e" <br /> yd 1-a <br /> some �`��� A M#M442,fiATI 0� Q11, 14 <br /> c <br /> C I)�� c��,'� :���1`y� D.'LP�� i lac- \je's <br /> [�n.c+ArP 1 � � lri�,�dr.�> i Iv � SY(t� I � �Cu��� � _S=�d(J-� �-�/LSP✓1� 1 i' <br /> (�° `��'�G dam-' r� ( o� � �C—,� o� � ( ffi aine�. ,. /�l � �.��-�s -�lti c c�r�1�-1�o,,.�T�.•� <br /> L65 IOC TG-. <br /> r kap C o v1 � S�� Co C:►\ Hld!, V- Le <br />