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RECORD OF INSPECTION CWMB-SWIS-03(REV.7/89) <br /> Page 3 of- <br /> AGENCY CONDUCTING INSPECTION: i � <br /> SITE NUMBER: # DbOIl 4 /p� bK`�OOI�Z INSPECTOR: <br /> SITE NAME: b-ei�a uv� SL'F c_ <br /> / RECEIVED BY: <br /> INSPECTION DATE: / ' �' OPERATOR: <br /> -Ak <br /> Uc/+ # VEff UGC- C MM STs <br /> CO M M ENi�r---� <br /> 13z ko a - <br /> S1705-6 `3 Y Y31 '1 10,C) <br /> OK <br /> 33, 0 -7D&g16p9d ok <br /> `33H 8 &v %q 194 ko o9m <br /> DT ok <br /> 3 3�"7 81 31 5 R o ok. <br /> FL <br /> .�25 b ) s'n&I SL ©k <br /> a '4 34 -7JS,'Z? 83 11'1�_ <br /> ,24y j "73gj�81 SL- <br /> � � � $1 _ off-- <br /> � $ "7iu3 )4 92 lzl_ D , <br /> ISL <br /> ,-rwp S a' 4ru ' 330 )hooje been r a-: ' V�Or Lueed, a�f-- '77778 op <br /> h _Fo I Sems' trkcO, 33a l-,as beep r Lick <br /> # <br /> tail cia#e S�c�l i s jnaochc 1 r�l�c s�* i 3FS Qvtic 33(a0 au <br /> ou.+ rf '63¢Q kA recd ' COL IiSnQ1 'J/SC�CCA <br /> 15 of Sacro vn. K tb po&u t w , <br /> C�'l, l nue �✓1 Z4 <br /> INSPECTOR SIGNATURE: DATE: o L <br /> 95 86771 C <br />