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DETAILED REVI ECK(.;t r <br /> Page 3 <br /> Claim No: v I ��� Claimant Name: <br /> COMPLIANCE DOCUMENTATION <br /> DATE ACTION/RESP&ONSE <br /> 91 <br /> ,V <br /> � 2x a <br /> a -� 93 I <br /> 9a 1 <br /> zs� <br /> I 9i <br /> -'u n <br /> 1 <br /> ,f <br /> Continued on Reverse <br /> CONFIRMATION OF CORRECTIVE ACTION COMPLIANCE <br /> i <br /> Claimant in Corrective Action Compliance <br /> Claimant NOT in Corrective Action Compliance at the Time of this Review - 90 Day Letter Required <br /> Claimant NOT in Corrective Action Compliance - Recommend Rejection. <br /> LEAD AGENCY GNATURE DATE <br /> CLAIMS REVIEWER SIGNATURE DATE <br /> USTCF025.DET (Rev 1/95) <br />