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'_ Waste Tire S_ vey & Inspection Rer . t !I 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 /> LA <br /> TPID- Q� ' o Inspection ^ <br /> Site Suffix: v `� 1 Report = .l. — —L <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> - 4 u <br /> Leo s� d nti� soon rolA-A ti unj i7� <br /> CA uu <br /> 1 <br /> )iso i <br /> - m nw � <br /> in v-\ Ct,0 <br /> 42408 <br /> WA mP W E' 11 273 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />