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Waste Tire Survey &t Inspection Report SUR i <br /> ■ :..-�state of Cali,omia ■ <br /> CIWMB183(New04/04) Comments Form <br /> Califomia Integrated Waste Management Boartl BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Q ctln <br /> o4 `T 1 V1 <br /> TPID- Inspe <br /> 11 I C) O 1 Report <br /> Site Suffix: J — <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> u qi -2, I rOA-5pCr t 0� -�eh 10 or rMore -h�-e s o1 <br /> G VoadS r eS_t� e o� rCtvtlm$ g9r�.ed <br /> -Ulbewn <br /> _�� mta�.i.��+ a� rr-�-� ►y�.a.w�.F.es+ �a'►� `�-tee.. <br /> No via l d-D,s Nole- <br /> Elxal42408 <br /> ■ p, P L E 1 2 3 � ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />