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® RECORD OF INSPECTION CWMB-SWIS-03(REV.7/89) <br /> Page-7 of <br /> 0 GENCY CONDUCTING INSPECTION---: �A CA11'fAX <br /> SITE NUMBER: �' Fwd INSPECTOR: <br /> SITE NAME: , <br /> RECEIVED BY: <br /> INSPECTION DATE: OPERATOR: ''`� <br /> COMMENTS: <br /> ::2 Jiv-e t-., <br /> 7-1 <br /> A - <br /> P - <br /> r -- <br /> -�-- -14 4 L :Z,J"..0 <br /> k ./ <br /> r <br /> r C/A 1A, t' J& /fir W e"(X( 5-ilk <br /> � v _ <br /> AL A 46 <br /> ;xs* <br /> INSPECTOR SIGNATURE: ( DATE: <br /> 95 86771 C <br />