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APPLICATIONNONPROnT ORGANIZATION SPONSORNuneStrec(/PO BoxCily/State/Zip <br />ConUct <br />Phone <br />ADDRESS OF CLEANUP SITE <br />DATE AND HOURS OF CLEANUP <br />TYPE OF WASTE <br />ITEM CHECK <br />HAULER INFORMATION <br />Nune <br />SlfMl/PO loi <br />Cky/Suic/Zip <br />PhOM <br />ESTIMATED WASTE QUANTITY