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■ 1Waste Tire .rvey & Inspection RE art ' 0 <br /> SURVEY REQUIRED <br /> ..;;� CIWMState fCalif(New Comments Form <br /> '� CIWMB 183 (New 04104) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> ,isiness Profile Inspection Details <br /> PID Inspection <br /> Site Suffix: l l 47e © I , Report I 1 — 1 ± L/ 9 <br /> l I Number: G l <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> I <br /> /rtV f <br /> t - try �Z W 157 8ttZ-b f <br /> b 44- T I Ye-�-I o2t^.�tr' P <br /> b e- rl 'A i Vic) 7 n� res ic�oa� <br /> F <br /> 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />