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` e <br />RECORD OF INSPECTION <br />AGENCY CONDUCTING INSPECTION1^C2cA <br />SITE NUMBER: ` %aA— 6�0/ I <br />---�! <br />SITE NAME:• - <br />INSPECTION DATE: <br />COMMENTS: <br />jo <br />INSPECTOR: <br />RECEIVED BY: <br />OPERATOR: 14, <br />CWMB-SWIS-03 (REV. 7/89) <br />Page -7— of —7 <br />Is <br />n k-rx ... Lot_ -F r 4�- _ —r <br />INSPECTOR SIGNATURE: _ <br />C, t72 l Lam. 17 ;"�1Ef i [" LA r l ! r� iic ( I'A C /�I S �1i' P /✓ d.✓,A I to o 00 <br />NN ,,1 a <br />v <br />DATE: <br />95 8sm C <br />