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° Waste Tire SWey & Inspection Repok SURVEY REQUIRED <br /> WoState 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- 1 - O ' Inspection - n <br /> 1 (� Report <br /> Site Suffix: F � � o Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> � Ok�cS- 1_ —Tezi�s L fi 4P �l <br /> ()Jq A lie W 1-k I CJ0j <br /> T Com\, <br /> nit Aj <br /> 14 �'lf C, S <br /> of <br /> I 42408 <br /> A P jT j 3 r <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />