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® _ Waste Tire S ey & inspection Ike <br /> tit SURVEY REQUIRED ', <br /> ■■ + ■ State of California <br /> --�- Comments Form <br /> ' CIWMB 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: ; p 7 cc, e <br /> �- � j Report I i` <br /> y <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> tem } otiwrll <br /> Irl' <br /> 1 (( s (���� <br /> i l' �Vr�,: Kc( n Irl f y- YVti(01'_o f >' P V-6, I i. Ir S 'f t_4 �:LAP le I ✓ - <br /> ok�ctit2<11cd - T?/ bti ()-0lI( J,(t'CJ-e <br /> v / r � - <br /> -fir it (0kOcl 1 10CC,4 <br /> A42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />