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MAWaste Tire S vey & Inspection Rer t SURVEY REQUIRED <br /> LIUS <br /> •'�• State of California-�-- Comments Form <br /> CIWMB 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK P E N <br /> Business Profile Inspection Details <br /> TPIInspection <br /> Site -Suffix: { 7 i <br /> .3 � � S � � Q ' Report I ` - f / ; , 0 -F l� <br /> Site <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ---/—�-`� I�iy/�Y.f-i"dYt S" __�' Q.uL•.i � � C!N►tB'.,v3^-� <br /> A)r mss <br /> l� /^�cGr � •Lt l=c�s G�/, `S�.- ��/'�t-y j,._r� Gt � �r����c.�-t-� <br /> V/ J-Ze C <br /> le A MIPILIE1 - 11 <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />