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■ _ei:. Waste Tire S ey Inspection Rept. i SURVEY R�Qu�RE® <br /> ��!�!• State of California <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- 3 - I inspection _ 1 I G 9 <br /> Site Suffix: u Q 6 Report I <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> aluk 31Z,31)-L. <br /> A. i <br /> Who'��5 <br /> fs- <br /> _ g_ 6ns,lkf �s� w✓r� c"n u 0;4C-S4,5 c,►r� tt P l on sli�-- <br /> ay I A Wk of (Ve&3 <br /> �8� s �. c►� %nn . Lus SrJ�wvr (tomo_)--o . 4 o h <br /> G�i� _r�aazul�)cxs I j,b3 5o(.,�. As <br /> C � CTU <br /> � � nl�J <br /> 4tiL l ; � Ns ; s C <br /> �� S Wrti�1� titer 1 '�u Ian i l <br /> Cc 'j�' 'jiQ.,A 10AON A'JE <br /> � <br /> - A M E 2 3 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />