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R COR® OF INSPECTION CWMB-SWIS-03 (REV. 7/89) <br />Page 2 of D <br />f <br />AGENCY CONDUCTING INSPECTION: Seg K lll" &(Vk <br />SITE NUMBER: L Y� <br />INSPECTOR: <br />SITE NAME: ii S n'K\.4+.u. <br />INSPECTION DATE: °� -t A v< RECEIVED BY: <br />i <br />OPERATOR: X l\A Ta 0uvv-1,V <br />COMMENTS: <br />u \ 9 A w� <br />.� A <br />�- <br />r-xnYcU\ 11Y�L.GcS(��c c—� sa <br />1 ' ♦ . .La la i&KimLL� <br />INSPECTOR SIGNATURE: <br />DATE: C� I ,� ° <br />95 86771C <br />A..c <br />I <br />"'m <br />T, M <br />1 ' ♦ . .La la i&KimLL� <br />INSPECTOR SIGNATURE: <br />DATE: C� I ,� ° <br />95 86771C <br />