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:ka <br /> :Waste Tire SL ✓ey & Inspection Rep_ _ t SURVEY REQUIRED <br /> State of California I — <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Iffi �l! - Inspection _ <br /> Site Suffix: 1 1 1 ` Report I 1 1 1 1 (0 3 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 1411, (J���, J(A 11 GI P (9 ,J "t�l) <br /> � 1. <br /> X1,4(�U ��t1/�1 0_�Q <br /> 1A I <br /> MAI1E XIA MIPILIE1 111273�7cJQ ��leYl <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LFA <br />