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<br />~ f <br /> <br />LANE Rt;P~\ONAL AIR POLLUTION AUTt{PRITY ~.... ~..O." ......W>>....O'... .~......... <br />, COMPLAINT FORM ! ~ ~ . . U <br /> <br />Date Recei ved: 3-1& --q q <br /> <br />Time Received: / ~o5 <br /> <br />Complaint No: c;( "300 <br /> <br />Complainant Name <br /> <br />() crtJri c.~r~,,--~v.....,,) <br /> <br />Phone <br /> <br />(;:; g8--(f (~39 <br />f:~~~. <br /> <br />Address <br /> <br />(..~ t C:r <br />~.2... l__. S """ J lLt <br />J ~ ~Lf:1.. . .lA.h.~ <br /> <br />City <br /> <br />location of Complaint Condition <br /> <br />$-RR <br /> <br />Date and Time of Complaint <br /> <br />(' (' <br />Frequency of Occurrence . (;:trL{V1U~ <br /> <br />n 'Cl. /) '1 <br />Source: A::.;./ (( J!~Ll.-Y ~~... cy-- e- v~~~__C- <br /> <br />location <br /> <br />E . I. No. <br /> <br />City <br /> <br />Type of Complaint: <br />v' Fanout <br /> <br />Visibnity (Aesthetic) <br /> <br />_ General Air Quality <br /> <br />Fume <br /> <br />VisibU ity (f raffle Safety) <br />Smoke (Impact) <br /> <br />General Practice <br />(Field/Slash) <br /> <br />Odor <br /> <br />Expense <br /> <br />Health <br /> <br />Smoke (Visible) <br /> <br />Other <br /> <br />Type of Source: <br />. (.;/lndustry <br /> <br />Fugitive Dust <br /> <br />General <br /> <br />Open Burning <br /> <br />Field Bum <br /> <br />Slash Bum <br /> <br />_ Backyard Bum <br /> <br />Home Heating <br /> <br />Unknown <br /> <br />Other <br /> <br />Referred By: <br /> <br />b.A.-@. l21' p,.~ <br /> <br />I~'~ Investigator: <br />/) . <br />j-J."cf..i!.A.~ _ j {t)(Pk k~;, <br /> <br />1- F <br /> <br />Complaint' Receiv.ed By: <br /> <br />Remarks: f.11,fJ '- ~ ) fA 2!Y'r ivy tl.lA.A2.&-><'1~~ -.11 {lL<<<- ,4f4"'1chL ilJ ~ (ldf) 'rfflJ.. a i' .d"\~~t <br />I \ ~ <br />(L tILwriJ.'~ft / 1- ;{j,'r'iRd (2-t'\ -1,. (i.tr e.~ t~) ,Jr~~!tM~~ C\{d~ttulft. 'to LMfA. <br /> <br />0,~.J.caAP-d: ,-~ ,/l{}.(ru:'t,tl~':if f/2dl,,~vYjjJ-LU} 10 lfLtt<!5:] dt. ~'t: '>/A Z.<t1 <br />j)JLkri J' '1),1- )~t1/1 ~J&t::l~4:.)j (~"-~C~~fJ..,frVD I h~tLJ .. rf ~,- <br />() AIi >. ~ I, I/-L]/)../; 'r1 --L.~ f1 <br />(l.Jr~tl..-, t..~..J U-nrtPo.o (~jL,) .~pt Lr-rr-r'{I (!~.J2..a Cr-~~1_d/?---~4: <br />, 1" ,. "\. ....j~ J .'. .1 I I -..t <br />(\(:rrKf~-' Jr../J, ~)'~ /J'SJl~~ IY\.o.;jJ, \)/flR-tj (~JC( fL,) (P:gxL(> C,,~ e ~-t ~ ' <br /> <br />(1J..-NJi ,X9i.J.. -' ,A"4'l'/ i T> f/;y f- (I -e:t,~ Co ';Li il--, t ,L'Vl'\ L ;<.MA: · <br /> <br />Investigation Results: <br />