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DATA CHART <br />For Uro With <br />1 LOCATION: - cur SLs. 7.Lonnn. Hu, <br />22 <br />p 2 OWNER; Q <br />OPEIIATOII;LL' <br />�//] H.m. ll..a.r, Mfi• .. Ulna F.W..r III WH...nl Nun L"..w,0 <br />r REASON Pori 71sT_�/I <br />D E ST AI6UiR <br />LU sY: <br />R <br />r N. m. rwAwn <br />�u <br />Xzp Lee -L <br />s SPECIAL IN STnU CTYoxS: La z / f <br />7 CONTIIACTOR 011 COMPANY MAXINr TEST <br />M1CIfAN[C(3j NAMt - /�- <br />IS A TANX TEST TO ISE YES I 1,IA1E AND TYPE OF _ _,�I <br />_ MADE WITH TINS LNeC TW LTI NO PUMP' 011 OIEPINLIlIS. 2 <br />3 ` <br />COVER <br />''/nJJ�/, y� <br />WLkyiicpt <br />O l0r E l TCMPCRAIVIlt IN TAUX_:�/�]yy-IOVER UNEL <br />"fACN L1Nt <br />Ai TtSIEU <br />APPROXIMATC �^- <br />BVRIAL DtPT9l V <br />CoNCLUSIoNL. Rcmn AND COMMENTS <br />/00 /9 ji �- <br />RECEIVED" <br />J U L 2 4 1992 <br />�rjVwR9NMENTAL HF.ALTH <br />P'ERMIT/g_E'pV01V. <br />H <br />