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. Waste Tire SL. ley & Inspection Rep I SURVEY REQUIRED <br /> ■ :.ice. State of California <br /> - ■ <br /> LCIWM8183 (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: , 5 7 o ? m o Report I C - l ` 6 6 0 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ch Ln, \1Z°\/1 -\ C��t�ed.1h b �nc�ri �S <br /> kctic '�4•��2.� � <br /> a- r� vS�k <br /> G, <br /> cam.. <br /> IEXIAM 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />