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::_.... .__.: - .s--= --- - :_.._��:.-s .•- - --- ------------- - . .... - -----------Waste Tire SL- ✓ey & Inspection Repok SURVEY REQUIRED <br /> State of California -- - <br /> CIWMB183 (New 04/04) Comments Form - <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: �. , i Lt l Report C) 7 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> PWOLAe!�!Vl C4 el C <br /> Min VVb"-UW-,Z, !Q� &-4myi2S <br /> +0 -7- 19 ` l 3 5 ,.mss cr z� rltruti i trW CS <br /> �' II Y llt!, •�� —�--� 711t f��� "�-'ilf?o� c. �i�2'.1�°7`7`L� <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />