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. (Page 2) • <br />1~INE ID # OR PF;OSPECTING ID #: ~ ^ 8 q - (~~, <br />INSPECTION DATE: ~- -,~~ -q q INSPECTOR'S INITIALS:~~ <br />OBSERVATIONS <br />1f4~ ,~~v~StON CoN~t~tt/-ll A Morti~2.lntG, ~~ <br />o N. L~ _ aol _.q q P~TioN o~ the s ilk <br />1 1 ~Ct-l t. S t 1~ \ S R sM ~}~ ~ I p ~.~ S ~c~ f1-NsD Cri~fY~L l~ <br />P~2~ oN ~o c,~ ~., rnt ~ <br />-M~ -~~'L. N +h G F'LAO.D t~-i N o F TW ~ nl LQr_~~,' <br />Q~2iY\ 1 j ~-f-Rfi~°rCrb 1 S `1 ~E~L.r~ , <br />O P~~-fiolZ .~~s coy. r~c-~ ~ tZl 0-2 to tin C yes P~z.Tloa~ b ~-}- w,~5 <br />~\ C S 1 i L - 1~L {->~ ~ P F~ St, ~n v o `~ tR..rt-~~ o~ 4-c r~~ u~i u 3 C'~ <br />~ S r~1 f~t~ ~ ~D ~-( nt cn S <br />~C Y S•t-e`m fi~u fLru mo~l.V ~-P-tC Cr(Zt~-v~L FRoM <br />~--oop ~C...~F-, r~ . <br />'~'D o b-t-rh 1~t~2prb~~ -t-v~ try 1-1 rte rT' 45 ~ l~ nl,Jhb1,~ <br />_ N ~~-w A-~-~~ fl~v.G-nn c~1y 7Prt-t ord. Q ~ ~iZ-o n'~ t-'~n ~" ~ frtt~ ~ o-Fti~ <br />~ ~ ~ ~ ~ ~ o ~ 1~i' P L ~ c~t~i--1 ant ~ . S i ~ c,t`" t~~ ~ <br />P X2+1-~}-, o N R-~~u~ 'c~ ~ ~~-~ 0 5 ~ n[ Cr C7--fL_o~ N 1~ W ~-tE~ <br />w ~-rt-~ a v+ h 5~ ~s+L ~-ti+C W ~-~lZ- S v p P ~.. ~ }~ ~~tN, -1-h,c o P ~rt~,-~ <br />~ N o-I- 2>uw\ ~ ~ Imo. i., R-t, ~ ~71-f ou-i- b ~' i a~1 cT-• ~t ~ ~ o c~a-~-c ~n~ - <br />~ c ~ nt ~ y -'~-l P e o F R-c-1-1 ~ r ~~i A-~ P ~-~~ ~a + t ~ Rem.o~ iY~ a ~- <br />'h-A-t~r >4~ ~=iZo Fvt ~ R, ~v ~ a ~S ~ ~{ s -ro c,~ ~' ~ c-t~ ~'~ ~i +~ ~ , <br />~ A-~-~~cr-rn~ uJat ~1~~ o~ t~~ ~~il r~~ ~~ <br />`Nc~t~ ~ f~ s ~n ~u. S ~~~ ~ Q ~ ~,,~~ w ~ ~o~ A-~or.~U -i-~t C <br />~tsfi S i ~b E t`~ ~ -~,.\ ~ ~ L~Lm ~ 1 A~-tA- ~ fr 5 m -~ r~-m o~ N, ~- o ~ ~ N-+~t- <br />A-~ii'si~A ~ _~ ~ ~~-kp l ~-~-`D 'P~o c--tSS c~ rn, tl'~R~.A~., (,~} +~5 0l0 5 ~2,~-~ ~1-C.cn1 U-- <br />I & E Contact Address <br />NAME: cc: ^ CE <br />^ BL <br />OPERATOR: ^ FS <br />^ HW <br />STREET: ^ HMWMD (CH) <br />^ SE <br />CITY/STATE/ZIP: ^ WQCD (CH) <br />^ OTHER <br />