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_ _41 Waste Tire Alvey & Inspection Repot SURVEY REQUIRED. <br /> ••�•+` <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 /> TPID- Inspection I _ ^ t, o <br /> Site Suffix: 1 Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> cns (110"X)i <br /> 6 rt✓ on 40 <br /> E(, 111 ^ <br /> CA <br /> lRilneA <br /> is irecrienS ren U� 6111 0 CkAl (W) <br /> 6,ru aLw ro c�� is � Gt <br /> f)ow l J-,, 7%'A <br /> JE A MIPI LIE1 1 12 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />