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■ _-__.- Waste Tire AWey & Inspection Ret SURVEY REQUIRED,,' <br /> ��_■_+�•_ State of California <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Prpfde, Inspection Details <br /> TPID- _ - Inspection <br /> ? ' <br /> Site Suffix: -' /; ! 1 Report <br /> Number: �.. <br /> Inspection Number on the associated Survey form(Page 1) <br /> -Comments �;a' • �. „ <br /> r <br /> r <br /> I!/ t'.l � l-'! �(✓!'� i r {+'� ! ��. (�� �_,f�::' i � � I,.t i � � { l F- I_i °f <br /> ��;! �r t. ��< 1�' ,�" ��ra Lc t2.�.i' t `� _ 1. Li t n ;-r� •, ,P •r (- <br /> -fit <br /> JE <br /> , r <br /> r <br /> AP p_�J. 42408 <br /> IEJ 111273 <br /> 2 3 0 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />