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AWaste Tire St , ey & Inspection Rep SURVEY REQUIRED <br /> ••'+• State of California <br /> ki <br /> —"— <br /> CIWM6183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> � <br /> Site Suffix: �{ ' /J F, �/ Report 19 O 3 <br /> l L CJ .1--- Number: 11 i(` 1 <br /> Inspection Number on the associated Survey orm(Page 1) <br /> Comments <br /> fL s Ir 1p fof <br /> AV\" !ft!Z& Wp�) &r 4c ms-(kz( rl- <br /> I/ l/Ole V11 JI /t,1 <br /> r t� <br /> _ 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />