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::Waste Tire St rey & Inspection ReptSURVEYREQUIRED <br /> •■•'�! State of California <br /> CIWM6183 (Jew 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: U D Report = - iJ -7 <br /> Number: .1._. G <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> / ei V YbL�-S O-.-- <br /> AIa 'if—I61 <br /> 1 <br /> r c tz � GJ ,�- rte d-Yrt�tsiPT <br /> +r<-.t& O"L.� <br /> t/L <br /> IJ <br /> 42408 <br /> 1EXIAMIPILIE1 11125 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />