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<br />LAN E R I~' G ION A L N A [R POL L U T [0 N' AUT l{ 0 R I l' Y <br />" -#"/.?OC)'O <br />o <br />~~(j <br /> <br />compla~nt No:i1~/c?~ <br /> <br />Phone ;g C( Cf- ().;LLft/ <br /> <br />C 0 H P L A~I N T <br /> <br />FORM <br /> <br />COlIlpla inan t <br /> <br /> <br />Date Received <br /> <br />Address <br /> <br />Location of Complaint Condition <br /> <br />ci ty ~P-41 X--' <br /> <br />Date & Time of Complai_nt <br /> <br />:::::c~~~e~,<......,.~~p <br /> <br />Locat~on 73k~~-e) <br /> <br />Type of Complaint.: <br /> <br />~ai-l.out ~iS~bil.i.tY (Aesthetic) <br /> <br />o Fume p Visi.bi.1ity (Traffic Safety) <br />o Odor 0 Smoke (Impact) <br />o Health 0 ~oke. (Visibil.i.ty) <br />o Other <br /> <br />EI No_ <br />c~ty c-. n <br /> <br />o Genera1 Air Quality <br /> <br />o Gerlera1 Practice. <br />(Field/S1ash) <br /> <br />o Expense <br /> <br />~ Fugitive Dust. <br />~~1aSh Burning <br />O'Other,,/ <br />Comp1aint Received By: ,,~J <br />r/A'd '/17 <br />Referred By:.. ft-f <br />Remarks: <br /> <br />Type ,of Source: <br />~Indu.stry <br />O.Fi.e1d Burn <br />o Unknown <br /> <br />o General <br />o Backyard Burn <br /> <br />o Open Burning <br />o Home Heating <br /> <br />Investigator: _~ <br /> <br />~~ <br /> <br /> <br />~LA:-, <br />~Il ~ <br />chI!!.M 1 p{ W ~ rA4 . e&ilL, &uJ.;L ~c. <br />~~ ~". ~ cA.u;t;L... ':tA..t ..At 4~jl, It.A/ # ~ <J · _ <br /> <br /> <br />~, ~ q/7_JJ'7~ <br />