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:Waste Tire : rvey & Inspection Re .rt ESURVEY REQUIRED <br /> •••'•! State of California � <br /> CIWMB183 (NeW04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection _ <br /> Site Suffix: 4 z- d i Report <br /> Number: / <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Zl � �-w�--�-�}-5 �rr<-X-a✓�n �-,-�-cr�rYu.�-. -�r u`�v, c�'��l C� <br /> �-- <br /> r cd�i,cA.. �c <br /> �f• I I l�.e✓1.� G.ti.Z. 5-�rr�r.�-sem. �.- �.,cl�- �c„n 1 Uc�Z�" <br /> JE <br /> 42408 <br /> }C A MP L EI 112731 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />