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Waste Tire S ey & Inspection Rept SURVEY REQUIRED <br /> !!—,• State of California <br /> Rol CIWMB183 (New 04/04) mments Form <br /> california Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection q <br /> Site Suffix: �j g d — Report -75 1 <br /> Number: <br /> inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> �3okcS: T e'L Cer' :St� �e �,� S �� 0,y o.:lee b\!e <br /> 2 1-{ow��.�' ;s c�:sat-ccc�. �t-o �,o.�\ �c-�s �s,c_'- 2s►3, <br /> 201Z- <br /> o c "c� - •S�o� �, d\3 . ai v`ems a <br /> kl �lr 15S%b S k - J V <br /> Tm k\\e <br /> CC<- „�:c 0.N-e—S mcg. �.cA 1 r *we C5 _ C� <br /> 3• �r� wa-S 2 re nnah:Ae Ts \Mavq- b�e� <br /> 2.012 <br /> C--O- <br /> e Vn-wN CJL r <br /> C OX <br /> 11E XIA MIPILIE1 111 <br /> 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />