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--- ------- <br /> Waste Tire S_.vey & Inspection Re� A SURVEY REQ UIRED1 ■ <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 /> mffiInspection _ j., �D <br /> TPID- ' � � '�` Q � Report I s S <br /> Site Suffix: �" � � � .J Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> -01000 4n QUO-1 n <br /> (A aI t-,,3 C,0(21k - <br /> r� C S� SU 1C "SC�VU1lGi � <br /> ' a . <br /> d-e j 1� C.0 fL�S t S Ll 5 `( � - Fi �U n t3 ' G�ye, �t r <br /> c.4i,.I.v mhnj 1""e J5 M,tA.4 be-) Un�S1�e� Gtnd� <br /> 4f� v �� <br /> Go +10M <br /> U(M <br /> Tcu <br /> l <br /> °�• (2.,Q n ucam- 0 - T C4- _) ;F\�, - <br /> SOL <br /> "ILIE1 11 M23 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />