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1 • (Page 2) ~ /~(D • <br />~< <~/V0 ~ <br />ra+Pd[-rar-o Rt~3~1= i i ivmv a: H- 9~ - / y <br />INSPECTION DATE: /Z - 3 - 9~ INSPECTOR'S INITIALS: U <br />OBSERVATIONS <br />1'lrr,r cis ~~iti-r. was ~ua~e ih. its ~fC To ~ ~ ~ l <br />Fe~e~tr, yIQK~.er Tl, wrf~ y6ie F16~>~ Co.,~.-ty pl~~,~ .~~f~k,~~~ <br />pe~eu-t~e~.~; %1r. FeGr.*,~ stye-~ t%~ ~t ~e-~ei- to yl e V~ ~c~-~ ~G-~ `r ~s <br />P ~~ ~~ ~l~ ~ ~ se~~ 2~, ~dw~ ~~ q sow ICI <br />Ram y( ,S~ Gvts~ ~f ~r eurr/~~// ~er~-~f ~~~OZ"` `f~-e Drvf~o~./ ao~ <br />/`jiar.e~S ~ fG~a f~ Gytevfc- o~ `~ f7iv,lt~^- /"eDa1''G~f ~`d <br />s~a~ ~ Perms-~ ~`~/ o~er~~ , w ~~ ~~/-~ s e~~,. , <br />~4~fer ~sPec~ci~ Al~~r~cvs .fa~ ~-~ ~rs~v /~r ~w6S No 3 pit ~Y~~-,~Q-~-a7S <br />/~ ~e ve~ /ti,~l-~ D ~ se~a~c 2 ~(/ Z obf2rU ~ ~e eXf~°~ <br />eP // Hof-- /tr. F~`~cj4~`/vr. ~ urre~.~/scbocN , ~~,1 ~Jr~ ~f lLp~ aGe~ l~v <br />4~sr-Gt" o~- '~~ fou 1/.t- i~ o ~ //tie Y~ ~ ~l~c-e l <br />j P r ~ se ~ iKe) <br />detwe2w ~lr\~tll~no~e//rT~~yoyiva~ o~ ~,~~/ ~r+-a~rewf Sam au~(rf-•cv-e~ <br />/1~0. 3 ~r~SlTe// a~.cC /ke pw/24~ o~ /~iG /c+z.9~ //ite t'rt ~~v tcel/r~-`- <br />rS D"t- • Z dfk~ a- fru~~!-rv~ Dea-•-~- /~ <br />~~// ~I t nDlte r wLco wal ~-a ~~*-q~ ScrKd" <br />~Y~'- "7u-2 f~-r~.~CY~ew~~jf /~~. 3~,~ i ~ ~"`~`[ KN-ew u/~o was learcl~ ~ r~l <br />~~ '~ e Dr~ s'ow(k- o ~ /u-P p~v~.°~- is I rK.~ N~ sai~ y~~ ~~f <br />Cae~f~uG~ro~-- CamPe-ky ws~s ~QU~(i~ sa~ to ~r-crF/' P ~~ ~'~' ~ItkoN-~ <br />u/~c~ cS S~,le/l nar`~ edt~ mot.. ~,~ 2p~,pf. ,e ~ ~ Q ,JfI <br />L ~r~(,C ~a NOYrKf GAS fritG~ei~^- Gohpa~-Ys a=( fece r r/r~~+~f1-~~" v~r~ICSP~C t-, <br />ex~~ack a~ µy ausrh-~rf ~Qf~~ a s~e~- 7~0 `~. e 6wly~ ~/TH1H kf a~ <br />~e ~~~~ff f4iA z s~ t~~fv P~ /-r,~r.~f 6~ f~Pnwa s ~-,- <br />I & E Contact Address <br />NAME: <br />OPERATOR: <br />STREET: <br />CITY/STATE/ZIP: <br />cc: ^ CE <br />^ BL <br />^ FS <br />^ HW <br />^ HMWMD (CH) <br />^ SE <br />^ WQCD (CH) <br />^ OTHER <br />