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Waste Tire S". vey & Inspection ReIAt <br />WeY1J. State of California <br />CIWMI3183 (New 04/04) Comments Form <br />California Integrated Waste Management Board <br />SURVEY REQUIRED <br />BLUE OR BLACK INK PEN <br />Business Profile <br />Inspection Details <br />TPID - ( ` Q <br />Site Suffix: 1 -+ U O <br />Inspection ^ _ <br />Report 11 .23 0 <br />Number: <br />Inspection Number on the associated Survey form (Page 1) <br />Comments <br />IVAZ5' t n 'S m M AAfIAO SezA c��tT In <br />V%rk Z- 41 LA (341"d 14J <br />3 -CA C,1LA <br />C <br />- _- ?lc5 -- fc- vI Ol11 Ci Cly 1tL1a <br />IEXIAMIPILIEI III <br />White Copy: CIWMB Yellow Copy: Operator Pink Copy: LEA <br />42408 <br />