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: Waste Tire S ✓ey & Inspection Rei t SURVEY REQUIRED� <br /> •!"• State of California <br /> CIWMB 183 (New 04/04) <br /> Comments Form <br /> L,931 - <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> a O Inspection — I 5 <br /> TPID- � Report = 5 <br /> Site Suffix: <br /> Number: <br /> Inspection Number on the associated Survey form(Page 7) <br /> Comments <br /> �11 II <br /> , Q <br /> �;,s s�� �c^ -,1911110 U(- �k <br /> - �c )Se 'S> <br /> ,rte <br /> Art\ <br /> -� exo- S gam" <br /> Cor.car <br /> 7� < < S�Te ;)E S ire �e c4 i o h <br /> rna <br /> TVA - <br /> 42408 <br /> E XIA Mi6� L � � �R <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />