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■ 'sWaste Tire Sue'ey & Inspection Rept u E o <br /> .uaa■ State of California F <br /> CIWMB183 (New 04104) Comments Form <br /> Califomialntegrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> j Inspection <br /> TPID- <br /> Site Suffix: 1 Number: I L Z) <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> lYl er.- 7_cls P W-\.p\ GYl ""f►�41Z C��� <br /> bYt 5- p <br /> 4-0 LAJ <br /> �Aoz— 0iej)cy-4 ifs lCd itt' <br /> 42408 <br /> ® <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA ■ <br />