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Waste Tire St,_ '�Y InS��CtI®n I�e� I SURVEY REQUIRED <br /> AM <br /> • State of California c <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- n ` Inspection <br /> Site Suffix: li 1 C Report I 1 — , Z 1 So <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Off` -VImp r ex kr as <br /> -2, <br /> �- <br /> �,,,,� <br /> 42408 <br /> JE XIA MIPILIE1 Ill PT <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />