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VW 000015072
VISTA
Vista Chemical Company
Vista Polymers Inc.
Report of a Possible Adverse Effect To Health or the
Environment
If you think a chemical substance or mixture has caused an adverse human effect,
identify that substance and describe how affected. If you think the environment (for example, the air, water, soil, animals, or plants) has been adversely affected by
one of the facility's chemical substances or mixtures, identify the substance (if known) and the affected plant and/or animal or contaiminated area of the environment.
If you cannot identify the suspected chemical substance or mixture, identify the
product, material, or item believed to be the cause of the adverse effect or describe the process or operation or the effluent, emission, or discharge from the facility that you think has caused the adverse effect.
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Signature of Reporter
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Date ofReport
Name of Reporter (Printed)
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Send Completed Form To:
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Date Adverse Effect UccurecT VVV 000015073