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1 6:s <br /> RECORD OF INSPECTION "' CWMB-SWIS-03(REV.7/89) <br /> Page—z--of-7— <br /> GENCY CONDUCTING INSPECTION" (A- <br /> SITE NUMBER: d / —Ciy S INSPECTOR: 'r�'f"F <br /> rte_ <br /> SITE NAME: ;l''.Y t,./r:,(c_i /''�-`.� _ <br /> RECEIVED BY: <br /> INSPECTION DATE: z _C 1_S___.- OPERATOR: / / ✓,.r�� <br /> r <br /> COMMENTS: <br /> � P , <br /> /,Its r t <br /> •,F—+QLa, I f s �—� .l��fC�6 O !'t �r�7� 4 �i' ! -77'!!' <br /> f / <br /> c, _ - _r.•�. _ <br /> I - r' rY <br /> E <br /> 1 <br /> 7-p <br /> Q� 1�L •�r____ IX r ty =�`�G�t s n� l - 7�-L) \ 1,g <br /> -e m g t � t e--A <br /> !� 4 ✓) <br /> 1 <br /> INSPECTOR SIGNATURE: DATE: <br /> 95 9sm C <br />