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TTsc-fi�LI/ <br />��CUib/�9I5 <br />Smith Island Facility --Sludge Disposal Site Cap Construction <br />ESC Inspection Form <br />Y I N I PmblemfCorrectiveAction <br />Location /g>;�q�all i - nnotC <br />Turbidity l <br />Discoloration <br />Sheen <br />Location <br />Turbidity <br />Discoloration <br />Gei eml Comments end Notes <br />ie Includes BMP aim, maintenance, or nstallaBons made as a result of the In's ection <br />Were photos taken? Yes ❑ No <br />If photostaken. describe below; <br />. � �tric�y Gc^2ri(��v �t✓lv�-. . <br />Based on the results of the inspecl(on; the site was Judged to be: <br />with the terms and conditions of the SWPPP. <br />❑ In com Ilanoe <br />O Ou[ of com (lance <br />I certffy that this roport is truo, accurate, and romp/ate. to the best ofnrylmowledge andbellef. <br />Name Title Signature Date <br />JAN 0 3 2012 <br />muio: v n.,wern rmI= Page 4 of 4 <br />