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Waste Tire_ &- Vey & inspection Rei t <br /> State of CalifMornSURVEY REQUIRED <br /> •�! CIWMB183 (Newia04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection <br /> TPID- l <br /> Site Suffix: 1 —L 1 Report I — /� 1 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 0)"I Ai/s C�r—i dain C� <br /> 2-10 <br /> a-3 /3 vLl-) 4 I� <br /> i Art �-Lf� <br /> LUC)� -�✓z.���s <br /> 42408 <br /> White Copy:CIW MB Yellow Copy:Operator Pink Copy:LEA LOT <br />