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aWaste Tire Survey & Inspection Report .4,� ixi <br /> State of California <br /> CIWMB183(New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN _ <br /> Business Profile Inspection Details <br /> TPID- _ Inspection <br /> Site suffix: Z U Report I _ ` <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Vi. <br /> at C, -� <br /> l� <br /> D< w,,-o\t-,.<- w a-S�� <br /> t ►�`'�- 4 <br /> �`XA' 42408 <br /> ■ {Jt P L S f 2 3 : ■ <br /> White Copy.CIWMB - Yellow Copy.Operator Pink Copy.LEA <br /> 0529206.0043 <br />