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7E s c IL SL <br />CG�9u/,r9g <br />Smith Island Facility —Sludge Disposal Site Cap Construction <br />ESC Inspection Forth <br />_Stomwhtir Dischemeu From'Ihe Slte <br />Observed? <br />Y N PmblernicorredWeAction <br />Location <br />Discolor 1*704e a ine %a k <br />ulsmbrabon <br />Sheen <br />Location <br />Discoloration C.vr,l•�rytC . CMnn <br />I cordfy that thts ruport is true, accurate, and complate, to the beat of my knowledge and belief. <br />1 • n D F/Hn ,t ci it <br />Name Tnk:. (, -, / S54�Oale <br />nuropere�caonimnan Page 4of4 OCT 7 2011 <br />