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273/23/,1995 08:17 303-782-0390 CDH W(~CD WQCC PAGE 03 <br />,~,-'~} ON 8 TEL~303-294-7168 Mar 22'95 14:13 No .004 P.03 <br />t O.C, l;pa wEOIOt{ C ERNS MOTIrICATIOM REPORT » <br />Re910Re1 Caa• j: 930093 <br />MOTITIEQ agency Tppe: NONa 8dL6CTSD <br />agency Mania t <br />sYa Ka• ^otified : 3TATS <br />Coataot Ilau/phones <br />L. OOIOQ/'rs --Oeaeral Coa~eata-- <br />K. KiilOtifE aMD .11V~L1)CTIOM --Eeaponae Couenti- <br />Priteary Reepondinq ageaay c <br />seooadast7 Reapo adinq agency: <br />Ocher Reepondlnq agency : <br />M. REOIOII CPECI-IC Ilf1;ORKaTIOM - OTHER ZiOTIFICaTIO2Ia sir RE01011 ~ <br />/fate Contact i !hone / t <br />spy Internal Motiticetiona <br />lteies~ral Tlsanedt s <br />Motiiied Mat Raaource Truateeals F Notified /t1lC: F Notified LE~C: F <br />1. 1ta0I011 apECIfIC IMFORKaTI01 - OTHER aDDITIORaL IMIORKaTIOM <br />act. ra..t CERCLIS ID /: <br />Date Zlasigaed OCC: Site acoese: F TaT Dispatched: F <br />Zieeda Cite Ccseeniag: F Gate aoseeniag aesigaed: <br />Relesred to other i-a progrue F Otber Prograa: Masse: <br />T -0- <br />C. IMCIQER3 LOCaTIOM <br />r. soy~tcs <br />O. KRDIOM <br />K. cause <br />Dun i eradatreet/: <br />Coerce Coda: <br />1Mdim Code ~ <br />:aseat(e): <br />Cava• Code: <br />K. RECPOM/E i EVaLUaTIOE Incident Status: NONE SEL&'CTBD <br />saergency Reaponae activityt NO Emergency Reepona• activity Dates <br />Reapoadinq OCC: Followup activity: lollo`rupe: <br />notice Kea+o Date: action Meao approved?: No IOLREt Date: <br />C.eleaee IaveatigationY: NO Pbon• aseietaacett No <br />On-/oeae KoaitoriagTe No TDD!': <br />11•lo~eeent aoti~ikl~~: <br />MTC -Regioael Cow~ent•-- <br />PAGE <br />