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.;RECORD OF INSPECTION <br />3 <br />AGENCY CONDUCTING INSPECTION: <br />SITE NUMBER: -3--9- (10 Z- 77 <br />SITE NAME: <br />r <br />INSPECTION DATE: <br />COMMENTS: <br />INSPECTOR SIGNATURE: <br />CWMB-SWIS-03 (REV. 7/89) <br />Page -3 <br />M CA A i v rjvi <br />INSPECTOR: <br />RECEIVED BY: <br />OPERATOR:~ <br />c-- <br />--►—�4..r /'�w_f J.[� �%�1 / rT�l� gni /"A i.� .e, <br />-� - - - /-IN - - "-- - / .I' u <br />DATE: <br />95 WRI c <br />