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_ Waste Tire S� Bey & Inspection Rep. t LSURVEY REQUIRED <br /> "•'•: State of California_ Y CIWMB183 (New04/04) Comments Form - <br /> - <br /> CalifornialntegratedWasteManagementBoard BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- - Inspection <br /> Site Suffix: G{ L� �� Report '� <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> LW <br /> 10 -tZ— IZ 'aM cyjt <br /> ]MU 141n oe iley-L_ <br /> i4�i�"1 -rasa, A L-/-r-j l3 Cie ve 00.S1,f-r ACA.10 1�- <br /> r �t�v, <br /> d <br /> CTS Ion int 77n � � avxc�> <br /> ice . <br /> V 2' <br /> 47vz.s on e, <br /> s S <br /> 42408 <br /> i <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />