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<br />WATER QUALITY CONTROL DIVISION <br />ACTION REQUEST FORM <br />TO: .4- <br />Ito <br />L7.\7IT: WASTEWATER TECHNICAL UNIT <br />TRANSMTITAL DATE: <br />FROM: LORETTA HOUK <br />UNIT: ADMNISTRATTVE UNIT <br />SUBJECT: INSPECTION FOR TERMINATION OF PERMIT <br />PFRMIT NO: <br />A <br />ACTION / INFORMATION REQUEST <br />. V _ <br />A AA. <br />PURPOSE FOR REQUEST: A <br />DISCHARGE WAS TO: ' Brea waCG ?? <br />FACILITY CONTACT: Arnb <br />PHONE NO: <br />LOCATION /DIRECTIONS: <br />PLEASE RESPOND BY: <br />ATTENTION: LORETTA HOUK <br />***IF UNABLE TO MEET THIS RESPONSE DATE, PLEASE NOTIFY ME AS SOON AS POSSIBLE*** <br />RESPONSE TO ACTION I LNFORINIATION REQUEST <br />ATTENTION: L- c iZ L-:--_j j A )+-o Lk- k' <br />DATE: -?, //L-lc) <br />See <br />; c--- ru 9 o , A- . Pr • CLA <br />Cam- <br />WHITE - FILE COPY <br />YELLOW - DISTRICT ENGINEERS COPY <br />PINK - ORIGINATOR <br />R; "IE D REVISED 1'.2&1)4 <br />L- <br />