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DETAILED REVIEW CHECKLIO <br /> Page 3 <br /> 14Itklm.NQ.;.__LL1� __ --�! leiman ms 11'/VQ_ �7� _ _ <br /> — -- -- <br /> DATE -i ACTIONN/AESPONSE _ <br /> — - - Continued on Reverse <br /> I <br /> li Claimant In Corrective Action Compliance ` <br /> t..�.i <br /> Claimant NOT in Corrective Action Compliance at the Time of this Review-90 Day Letter Required <br /> laima t NOT i ve Action Compliance•Recommend Rejection <br /> �+ a E 11 <br /> it LEA AGENCY SIGNATURE v `Y <br /> C IMS REVIEWER 8tG ATUR6 (/ DATE <br /> USTCF025.DET.(Rev.1195) <br /> Z0i9 1722'ON QNfld dnNU310 1SI1 9t7:ZT L6i6Ti80 <br />