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L7._ Waste Tire SN -vey & inspection Reprt <br />Lu State of California <br />CIWMB183 (New 04104) Comments Form <br />Callfomla Integrated Waste Management Board <br />SURVEY REQUIRED <br />BLUE OR BLACK INK PEN <br />Business Profile <br />Inspection Details <br />TPID - {{ , e Reppection _ ^ A <br />= 1 ort (J L <br />Site Suffix: l `1 3 Nu 1 <br />Number: +— <br />Inspection Number on the associated Survey form (Page 1) <br />Comments <br />110�AyinjN na�t��i51-- �' ra ' �nAOn i <br />s Lk tit. 011 U- r CAISk -1a 11 A n as-r,Y, ZS <br />5Q- 1,10 -j <br />` -6 lf) a 'V es I ti - - <br />m 0.0-4 4 S �o Un � ttrA,, lel <br />�ocAl o, 1 qy C. Onu(�c-f lei., �ko AJvn ' Tfj: 3--0)� <br />-jr7 1 <br />C NIA\r", 4— 1OLC4f6.1-� k���� A <br />-(CA3'4-,rj <br />Le.S if) -I 1A es In of M0jP, , <br />ISI" <br />�- CUA (�.. �,) _ -�1 Lilik ' LojnS DLe'r, Ain4m <br />�o iso 1 �- taQ nl <br />) t m o CJ 'j e� <br />:t_ AL - L (� 10� 1.l -- Fuc;l, ) m,� 'r <br />Q- (0- ,1;34 CAI7&-- <br />le XIA MIPI-LIEI 111251 <br />White Copy: CIWMB Yellow Copy: Operator Pink Copy: LEA <br />42408 <br />i <br />