EFTA Document EFTA01301652

6 ) I o 0 3) a co iLL68 I 00-VI.43 CASE IDN: 3/6' Mt 3° ,2757) ADMINISTRATIVE WORKSHEET DATE: S .21:40 I Q TIME & DATE OF ARRIVAL: y'. ec si ,2 tat l'i PERSON IN CHARGE OF SCENE: /3 CI\ it': c...„ Area- Cle. .. TIME & DATE OF CONTROL AQUISITION: ,fir eic- zi; / t _.2 )2c ig PERSON(S) PRESENT AT SCENE ON ARRIVAL: 1.414 pa. ijok; e / s.,, , t...4- 1-C3 ..A;*-; cr.j ADDRESS: Alin A Ca-4 Jo_ (-4 IRMO> Wall`' 1 e- LE1/1. rt-tAzin. CITY/STATE/ZIP: 115 Iii:' • Sc ( a.