Laserfiche WebLink
------------- <br />Waste Tire SuNey & Inspection RepM F SURVEY REQUIRED 1 <br />.; <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 Inspection Details <br />TPID - _ <br />7 1 <br />Site Suffix:1� ( `� <br />Comments <br />Inspection <br />Report I <br />Number: �— <br />Inspection Number on the associated Survey form (Page 1) <br />- Z:� C.:7 ,17-n s airA-v,(!;,A —CJ <br />—L1—V_ �;.1:�'I`(� 1 ' t k izC. ��-,�'>�'► 1(7 � ���nC��L-r� _�3e1ts� �3� <br />E) 41 .C�5 AGE.--% f�c�Nfld✓ iVl.r 2��' <br />L'%,,ct ,qz,� G Get .l j <br />-k `71, <br />i�i'M <br />I <br />t- <br />A,'a/3 <br />T.T20 MAM <br />42408 <br />1EXIAMIPILIE1 1112N PE <br />White Copy: CIWMB Yellow Copy: Operator Pink Copy: LEA <br />