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i;--.AWaste Tirevey & Inspection Re "t SURVEY REQUIRED <br /> ■■■+•: State of California <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> ,C Inspection I' '`� - 1 ---- - <br /> SiteTPIF)T�Eql �" 1 / 1, L� Report ! 2 I l+ - I I ! <br /> Site Suffix: <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments A <br /> r <br /> u tl ar,d _ Vk) -j for- pick u4) 0 P�/P C) boo �� �t✓F. ��' <br /> ' r'c'(n-cr r �L--rQ I I y C <br /> 1^r�P �r Ic- - 20',� 41�'- �/ Qr)d tf,)ij ) b- Flr 1r1.'I0tr CG &JCC � ;,r <br /> 0cw to-t_n 'r (ian i �?c atovi G`u Irl � �(-0- <br /> ("e -ja(I -�— `S �A <br /> rr) l (.L t" f. 1� c rcc r� (i `� c C ! 1 r.t �l c f" r ( y_i 1'l j <br /> E <br /> t <br /> 42408 <br /> JE XIA MIPILIE1 1112131 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />