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Cherokee Freight Lines <br />Cont, ,-ncy Plan 2000 Hazardous Wast( d Materials <br />NOTIFICATION <br />,ASINESS NAME <br />FACII.!j;V STREET ADDRESS`, <br />�_�Z�L.K:� i -� ➢tel z� � � 2 I <br />FACILITY TELEPHONE ( j) '"23 /– 70 <br />MAILING ADDRESS <br />CITY —ZIP-- <br />TELEPHONE <br />IP_TIILEPHONE ( ) <br />(u diff ---g tram C—IF—Y He dgarrurz) <br />LOCAL_ARY BU INESS EMERGENCY CONTACT <br />T <br />NAME <br />RESIDENCE:�z1GT n!' <br />TEL PHONE (OFFICE) (Zc,n) <br />`r LOCAL ALTERNATE BUSINESS EMERGENCY CONTACT <br />NAME QST' C�A�rNrJ�� <br />RES IDFIJ l m7 Ci✓2_c.Z-��1�-�. <br />TELEPHONE (OFFICE) 2t''I <br />24-HOUR ON-SITE CONTACT CALL_ TELEPHONE (20)_ �'��� SS7C' <br />(If Av.il.Dk) <br />I swear under penalty of perjury that I have reviewed.this entire Hazardous Materials Man- <br />agement Plan and it is accurate to the best of my knowledge. I understand that falselinaccu- <br />rate information may contribute to complications during a hazardous material incident. <br />NAME OFON-SITE MANAGER <br />SIGNATURE OF ON-SITE MAN <br />DATEc� <br />/ -E <br />NAMEOFPERSONT/ <br />Respoaslbic for the compktloo_rotHMMP <br />SIGNATU <br />2 `l <br />DATE E <br />