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<br />LANE RE' ~ONAL AIR POLLUTION AU. jORITY <br />COMPLAINT FORM <br /> <br />\ <br />Date Received: 9 -4~ q {:j;e9 Time Received: /1/8' <br />Comp 1 a i nant Name S u.....6l::J r2J("",12 <br />Address 3D3 ~ Si::o-Pr' 1)c <br />location of Complaint Conditi <br /> <br />5 d3 rrg <br />Complaint NO:_~ <br />Phone 4{oS-q(aQ~ <br />City ~9l40Q <br /> <br />Oate and Time of Conlpla'int <br /> <br />Frequency of Occurrence <br />Source: Su...~s. +~ ? <br />location <br /> <br />E.. I. No. <br /> <br />City <br /> <br />Type of Complaint: <br />vfallout <br /> <br />Visibility (Aesthetic) <br /> <br />_ General Air Quality <br /> <br />Fume <br /> <br />Visibility (Traffic Safety) <br /> <br />General Practice <br />(Field jSlash) <br /> <br />Odor <br /> <br />Snloke (Impact) <br /> <br />Expense <br /> <br />Health <br /> <br />Smoke (Visible) <br /> <br />Other <br /> <br />Type of Source: <br />~ustry <br /> <br />L/Fugitive Dust <br /> <br />General <br /> <br />~_ Open Burning <br /> <br />Field Burn <br /> <br />Slash Burn <br /> <br />Backyard Burn <br /> <br />Home Heating <br /> <br />Unknown <br /> <br />Other <br /> <br />(" <br /> <br />Complaint Received By: <br /> <br />Referred By: <br /> <br />Remarks: f).L~~. ~.J <;*-6- ~d- '&~ dA"~~ <br />~-(~<.Vl~ {Ht~;C~/) ,~~ ~+~)~ ~~ .~ <br />,~, Jtf&. d-t,~. t{~ ~ ~ /21J)~ ~ '40 ~ AA:k~ <br /> <br />11 " <br /> <br />~dU <br /> <br />Investigator: <br /> <br />"-,-r-:::- <br />( r <br /> <br /> <br /> <br /> <br />Investigation Results: <br />9)~ <br />