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r... <br /> -.jWaste Tire F 'vey & Inspection Rej .'t SURVEY REQUIRE <br /> k•'±. State of California <br /> CIWMB 183 (New 04104) Comments Form <br /> California Integrated Waste Management Board _ BLUE_OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection Inspection ^ <br /> Site Suffix: V �F! ?J O Report Number: I —1 J, � GI( <br /> Inspection Number on the associated Survey form(Page 9) <br /> Comments <br /> Nos ' - <br /> �- e/e, Pmt <br /> � , �G �►�'� �u S � �sa u s�-�- Vis,r; �, ����5 <br /> W u + rr-= 1 <br /> . , 1 <br /> a � Inc, <br /> yl <br /> A-19 cv-k-- <br /> 42408 <br /> � M � � Z ' 23 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />