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' Waste Tire S ey & Inspection Rep SURVEY REQUIRED <br /> State of California <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK P E N <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: �j O ( y 3 - U Report I ` - 1 2 7 9 -7 L/ <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> A)0 V,ot6Lf-fvy i 0y_ SLA- GiS CSF Ccry)ce4,✓%..e - <br /> �/'►'mow <br /> cad- �k,z s s i k , utas- IM A aka-v,% - — <br /> QFE - s 14<c per !&ZXv M-4- nq a v,ec�rw . <br /> 42408 <br /> JE XIA7. 4 F LJEJ 111273 F:01" <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />