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Tot c- 4L Iv. <br />r6-ago169,; <br />Smith Island Facility — Sludge Disposar Site Cap Construction <br />ESC Inspection Form <br />v N <br />ProblerNCorrectNe Action <br />Location <br />/Id4e ,•,n Te d.a <br />rurally <br />. <br />DiscobrsUon <br />' <br />y �/r 5•' e <br />Sheen <br />Location <br />Turbidly <br />a✓r� C ✓/�n < Pa✓,(� <br />nisoniorafion <br />r� ,l,'L� r <br />(detleral Conmeirts and Notes ' <br />ImIudas BMP rs, maintenance, or lnstallations toads as <br />' ia result olthe to —,— <br />Were photos taken? L, Yes YLNa <br />If photos taken describe below <br />Based on the results of the inspKUon: the 6"" WasjudgBd to be: <br />with the tams and condkione of ttw-S;WPPP. <br />in cornnflance <br />outafoonvanoe <br />t cordfy that this taport is truer acaoraj% and complete, to the bast ormylmowfsd9a and bellef. <br />r <br />Name TMd. GSE sgn bate <br />muap.,ryKto,�mxaea Paga4 of . OCT 7 2011 <br />