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Waste Tire S, vey & Inspection Rep SURVEY REQUIRED <br /> 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 /> lt � <br /> Inspection - .- (� <br /> Site Suffix: l 3 � / /� 2- - 0 l Report I ( I Z- � 5s l Z <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> on- cam... b "v) <br /> A" Gam— rc4,�, 11 D20 ak Mico j 'r 4" AA&-4� <br /> l ►11 elI 30 I5 ,j'1 14 ma <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />