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RECORD OF • <br />*AGENCY CONDUCTING INSPECTION: <br />SITE NUMBER: <br />SITE NAME: <br />INSPECTION DATE: 7^1 <br />COMMENTS: <br />CWMB-SWIS-03 (REV. 7/89) <br />Page -7 of <br />1 <br />INSPECTOR: <br />RECEIVED BY: <br />OPERATOR: Ze, <br />l%fft .Yc c sr "rte, �' �4� 7 `7 C �YL 2� moi/ �i <br />1 <br />INSPECTOR SIGNATURE: DATE: <br />95 w"I c <br />