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Waste Tire S ey & Inspection Rep <br /> j SURVEY REQUIRED <br /> • <br /> State of California <br /> Comments Form <br /> YCIWMB 183 (New 04104) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: G L� U Report I — /� �1 7 49 `7 -,1, <br /> Number: .J.— <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> - <br /> v10 <br /> 6D!0 cems <br /> SO <br /> ,--� <br /> 1 �• _..�.. -�� _i.-V-.1-'-L_. Gam,.--F-�[-„'�,l U! 01, �,�� • Ii� <br /> 93 77 <br /> 42408 <br /> � ?< A hr,FP L S 1 2131 <br /> ■ White Copy.CIWMB Yellow Copy:Operator Pink Copy:LEA <br />