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Waste Tire S- Yvey & Inspection Rer -t SURVEY REQUIRED <br /> Stateof California <br /> CIWMB183 (New04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: 0 7" Report I <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> --yiomw -�cu <br /> 4 to, <br /> tk,re— <br /> V { <br /> 1 • <br /> G <br /> - O — <br /> o� <br /> - -- —7-1^-to�rq�� ��'; 'moi` ANA- o�.�k u.A�� <br /> S «., <br /> P 4- <br /> 42408 <br /> JE XAMPI f1112-73 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />