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RECORD OF INSPECTION CWMB-SWIS-03(REV.7/89) <br /> Page of <br /> AGENCY CONDUCTING INSPECTION: G• _- t.� 1 G e <br /> SITE NUMBER: ®.S 5- INSPECTOR: ` S ✓�x.wn `./�c�e <br /> SITE NAME: • <br /> RECEIVED BY: <br /> INSPECTION DATE: __ ___ ®�r ( OPERATOR: oozx, <br /> COMMENTS: S S 1 <br /> 1 <br /> ® ✓ eg"- <br /> ant <br /> • <br /> e4 rJ <br /> L <br /> 0 <br /> c7 C'r�i <br /> 'c7 \J —35c, <br /> Ancr,Lvvi o CA In <br /> T <br /> INSPECTOR SIGNATURE: DATE: <br /> 95 86771 C <br />