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AWaste Tire SL. ✓ey & Inspection R <br /> on e <br /> ■ '; p-- t . SURVEY REQUIRED �' ■ <br /> ■����• State of California <br /> w CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection <br /> TPID- Report = n — /� — a 6 3 <br /> Site Suffix: I � � � d � M Number: •.L <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> C,+10 S CN <br /> JAI <br /> l� <br /> M,C'. <br /> ),x, 11 <br /> _—maC <br /> 42408 <br /> FE--x1-AM1P1LjEj 11 2131 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />