Laserfiche WebLink
State of California—Health and Welfare Agency 4ax, # I:" <br /> ion <br /> HAZARDOUS WASTE JAN 0 C) 117--! <br /> SURVEILLANCE AND ENFORCEMENT REPORT ENVIROMENTAL HEALTH <br /> FERIIAIT/SERVICES <br /> Date: z <br /> Firm Name: Site Class: ❑ 1 0 11-1 E3 11-2 El ill <br /> Add'ress: j— <br /> Site Permit No. <br /> :7 4 Producer El Hauler <br /> Telephone: CJ Other b/,i <br /> '7 <br /> Activity: —��- ,7 <br /> Comments: <br /> ZA4at-ejW 7YU <br /> 51�L <br /> Of <br /> ICA4��4_/OW"117 L," � <br /> � 6UdAO <br /> sa-._ Aad_ <br /> Inspector: <br /> EH 204 (4/80) 14042-4495-805M DUP CAM•OSP <br />