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Waste Tire & ✓e & Inspection Re <br /> t" y p pl SURVEY REQUIRED <br /> State of California <br /> ClWMB 183 (New <br /> 04/04) Comments Form - <br /> CIWM <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> 3- 1 ' ` ` , _ Inspection <br /> Site — <br /> Site Suffix: t� l.1 Report I u y 1 ' Number: ` <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> a ex,I oy <br /> 45. <br /> �- - m <br /> Fa. ' s <br /> ( 4)0_,I - 1V� VA 0NA <br /> J <br /> v <br /> k� Ong <br /> ,JJ <br /> 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />