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------------ <br /> CLAB1 NO.: 016475 CLAIMANT NAME: EGGIMAN ANDREW& EDITH TRUST <br /> SITE ADDRESS: 1112 HARDING WAY E, STOCKTON <br /> DATE COMPLIANCE DOCUMENTATION CONTINUED <br /> 9-7 en <br /> S -E H - Sub Pt b nck' <br /> r tej — J , i v OrIl 'Yl LO S I ACI <br /> CONFIRMATION OF CORRECTIVE ACTION COMPLIANCE <br /> Claimant in corrective action Compliance. <br /> y ❑� Claimant not in corrective action compliance (90 day letter required). <br /> S <br /> v ❑ Claimant not in corrective action compliance—rejection recommended. <br /> LEAD AGEN IGNATURE DATE <br /> ,_� <br /> CLAIMS REVIEWER SIGNATURE DATE <br /> USTCF025.com(Rev. 05/2001) Page 3 of 4 <br />