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=Waste Tire S. vey & Inspection Rer. .t SURVEY REQUIRED <br /> • State of California �yy <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> - , - O Inspection <br /> Site _ <br /> Site Suffix: � �l � Report I � � 1 9 <br /> Number: / <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> �A�LZILI UC 1 $115 3 r )'5 wws <br /> v 11 dam; P-&571'0/ <br /> 01IV11 � � I1� I11� 10IN11) 10/7'sh, II vz �)1� <br /> X, ?oI <br /> W._ -6 nU SC 14 V X ` '�^4(c 15 IM,. 4 V41� <br /> C(-P 1) , rt;11 U , AA '► UO 1 s�.�� � P� onj"+ " CIL" <br /> 44 -tA 15 LA S:� 11�r'.4-- �S h5 <br /> LAI e*A <br /> , <br /> 14'uylu <br /> �1 A" <br /> "-Q N 1") —(A, eA' A, <br /> lof (oi, <br /> FE A E I 111213 <br /> 213— 42408 <br /> I <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA ■ <br />