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A Waste Tire Smey & Inspection Rep! SURVEY REQUIRED <br /> State of California <br /> k ", -— <br /> ClwMB183 (New 04/04) Comments Form <br /> mCalifonnia Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> 99 Inspection <br /> SteDSuffix: 1 1 ./ Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> J0 <br /> �'tyilV'i vt,i����- Z � ✓ L <br /> �� rJ loci 7T�� �~tu�.tc✓ Ct►t\ �'✓i Y� �. �r-,� <br /> v [ J <br /> ET c�i �!✓L 411 C�� l/ D ���1��/ ✓ %'�'7U s�J — <br /> v4N41A ZAA J<QN;"X -Ld� I <br /> �� 42408 <br /> I� '"`lea M P L E <br /> White Copy:CIWMB Yellow Copy.Operator Pink Copy:LEA <br />