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RECORD OF INSPECTION CWMB-SWIS-03(REV.7/89) <br /> Page of <br /> GENCY CONDUCTING INSPECTION: <br /> SITE NUMBER: � f / INSPECTOR: <br /> SITE NAME: <br /> RECEIVED BY: <br /> INSPECTION DATE: )_ OPERATOR: 4 ' ✓' <br /> COMMENTS: CA CA 4 f <br /> l L <br /> r <br /> f <br /> Bator? .. g <br /> v <br /> ey. /j 1 J� <br /> Via,✓,{a .] ! Z° iF l3� e Z f�;sf€'2I!4 I4) 4,,.. aCAa. cA r L <br /> 104 <br /> ex <br /> r <br /> AAo <br /> f oaf <br /> ,r�r / e <br /> [_.. l f (j eft <br /> [I FF f (r <br /> iJ <br /> INSPECTOR SIGNATURE: DATE: <br /> 95 w"l c <br />