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: Waste Tire %Ve)t & Inspection ( Mt <br /> LSURVE REQUIRED <br /> e •::'�• State of California <br /> CIWMB183 (New 04/04) <br /> Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: (n o Report <br /> Number: J. L J <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 11�11_�C� f��f L A D <br /> f r rA <br /> kjfJ r) A VA <br /> r f ' 1A1 <br /> i f e.S 4 ra- S-e� i C <br /> V� eAAL% �C!� A)JA,r�j <br /> ANN )I�L Ce (nn-JQ 4AAtl <br /> 1T �- -OCA — <br /> �C c,! r A f e_ S c <br /> Irs a- n 4 �, f�Ir\,% +Ivurn U(V j <br /> e, <br /> Q-r-- ct, or, `7 it <br /> JE A MIPILIE1 1 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />