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_ _ WasteTire vey & Inspection Re- <br /> CaliforniaState of SURVEY REQUIRED ' <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- t� ^^ Inspection <br /> Site Suffix: 5 0 1 Report = J.- - 2 3 3 -3 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> IN OA <br /> �•c e,�u n,�,�'s -far P'�'�L�f'S cu, 1-.� o ;� e"E, <br /> C1r—S CtA S a <br /> !1J��� J IIS 2l, ' <br /> 'Wk , is pr% A� ►n 4�a 4i'ce, o� 7�c� <br /> 'S �TLt U i <br /> JE XIA MIPILIE1 111: 2131 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />