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<br />LANE REGIONAI-J AIR POI-JLUTI.ON AUTI10Rlrry <br /> <br />COM P L A ..1 N T FOR M <br /> <br />Date Received~ Time Received~ Complaint No: <br />Complainant Name r _ Qno(\~ 0 L/ S Phone <br />. O.WLcuJoorl <br /> <br />5 f II <br />~ <br /> <br />Address <br /> <br />. City <br /> <br />6A9~~ <br /> <br />Location of complaint Condition <br />Date & Time of comPlaint--f)r-titL/7 f <br /> <br />Frequency of Occurrence <br /> <br />Locatio11 <br /> <br />SQ {\c} '-\-. G ( Cl vL ( <br />~Qjt\\Yv --\- Q~\~ <br /> <br />EI l'Jo. <br /> <br />Source: <br /> <br />City <br /> <br />~E~n <br /> <br />Type of Complaint: <br />~ <br />p Fallout <br /> <br />o Visibility (Aesthetic) <br /> <br />o General Air Quality <br /> <br />o Fume <br />o Odor <br />D' Health <br />o Other <br />Type of Source: <br />~dustry <br />o Field Burn <br />o Unknowr1 <br /> <br />P Visibility (Traffic Safety) 0 General Practice <br />o Smoke (Impact) (Field/Slash) <br /> <br />o Smoke (.visibility) 0 Expense <br /> <br />)8LFUgitive Dust <br />o Slash Burning <br />o other <br /> <br />o General <br />o Backyard Burn <br /> <br />o Open Burning <br />o I-Iome Heating <br /> <br />Complaint Received By: C{AJ Investigator: 7F <br />Referred By:. ... ....... ...~ <br />Remarks: .7f)J1q vusJ/IO/r:1 _l0illJd /r aJr7S;'4,lY(1.hjc. <br />hI{ 01 &d~ -- Don 'j-~ ho. L/1 7u Wa ky ? . <br /> <br /> <br />