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ArWaste Tire Serey & Inspection Rer t SURVEY REQUIRED <br /> •::'_°: State of California --- <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile _ b Inspection Details <br /> TPIinspection <br /> Site Suffix: 5 0 Report <br /> O 1 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> cj- <br /> \r10AL- a,- .01-6-A-0e s�V\te <br /> \n (,A- er�G <br /> 0,vcsO��Q. -�oC <br /> l ` <br /> 1EXIAMIPILIE1 11101 <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA EN.A i <br />