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Waste Tire SU*y & inspection Rep( SURVEY REQUIRE <br /> ••'� State of California L--- - --- <br /> C1WMB 183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Site - 7 I d - w Inspection 1 _ 1 <br /> Site Suffix: U Report I 1 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> `vzroo CQ C�i•�i r 1� Pb���lT `S� 2 nr� :C IZ_ <br /> .01 <br /> CK <br /> 42408 <br /> JE ?� A hti PL Et 2 3 � JJ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />