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RECORD OF INSPECTION • • CWMB-SWIS-03(REV.7/89) <br /> Page of <br /> AGENCY CONDUCTING INSPECTION: O <br /> 0,�4SITE NUMBER: PK l INSPECTOR: <br /> SITE NAME: &bCk7'00 c�CaVe-c�C. e r,5 A S-sO L' <br /> j RECEIVED BY: <br /> 44";;l- <br /> INSPECTION DATE: I ah CDS OPERATOR: <br /> COMMENTS: <br /> 10 * }3i S Prc)yi'C(t breorh ShoJ;v- cz. I1 ✓eh.�a.& s <br /> Y,egj6 � on <br /> L' 3aCk T'rK cjc l ria iyad on back oL a it 4-6&.0 <br /> ;Pot <br /> Rea3 K al I oil aq Z03 35 <br /> 04 5-Q7, r 007/(o <br /> Gro keel W nAs"d 611 2Q3/4 ? <br /> x by-044 f cLug 0,ie_ SQ2 s <br /> Nct e. r See C0 m vn.e_ri fs fie- 00--rQ J maw fr wck-'s <br /> i-tkc,f Kl� pv,12- alf R2s, ) Ll(08 -qq(p(0 w Cal <br /> ISsi%�5 �uue_ burl C6rr d- -�D <br /> ��IytSO��on , <br /> INSPECTOR SIGNATURE: DATE: <br /> 95 86771 C <br />