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' Waste Tire S, ire & Inspection Re t <br /> y ns pecr1 SURVEY REQUIRED <br /> •"3� 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 /> Inspection <br /> TPID- l Report = 9 02 <br /> Site Suffix: b Q e Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> A yT�v-h1n �ec�-h b�, L. ��e i Any l c IJ i, �L �c � c—lk-- <br /> O V blc.�bYl S c� <br /> Acas o f &,'Yl C e✓w <br /> n�D � >7� <br /> A c-TZ secoc t-.-. n e I tt CA- 6-10 13 tv <br /> 1"a.'1-1L[ .1�i�t.t�S zt� Wrta✓l.i(-SOV s 11i1,t3 ..1� �.� <br /> o i- nz o 4ha�,N 4 nzt :,L aY c �s <br /> --7 ,V1nA 41n( <br /> (tet) ' N mn (—)a,`/ A 0 O v-o$.t"YK <br /> Ir <br /> L ( rYtJ <br /> JE XI <br /> 42408 <br /> A � � E) i ; T3 F� <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />