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Waste Tire "!E ,fey & inspection Re�c t SURVEY REQUIRED] <br /> °'_-• State of California <br /> • <br /> - <br /> kilizzy <br /> CIWMB 183 (New 04104) Comments Form <br /> California Integrated Waste Management Board _ BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- o o Inspection I _ <br /> Site Suffix: `7 (�t -L 3 Report ^ 1 l <br /> Number: �+- <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Q's <br /> 0104 <br /> 5116 <br /> is _uk�13�b � 0 CL- - <br /> on VCW L ix� <br /> -- FhCAI I inS�j� _ l�s�, {'Clo,ni�c S�5 <br /> j � <br /> CA fS <br /> 42408 <br /> J A MIP 111273 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />