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:Waste Tire S—vey & Inspection Rer t SURVEY REQUIRED <br /> •••'`! Stateof California <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Ig b Inspection <br /> Site Suffix: p o1 5 , Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> � <br /> I ,- � 4C-1 c1_— vU`� L� Lam. <br /> 3 v Bei m An1 e 5 s LTL ) , . <br /> -� rove - <br /> 42408 <br /> JE XIA MIPILIE1 1112T-31 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA 0 <br />