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_ _ Wastes Tire St ey & Inspection Rep SURVEY REQUIRED <br /> State fCaliforni <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- 1 _ Inspection _ <br /> Li '� /f I� Report I — i Z 4 <br /> Site Suffix: 5 � ;�' <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> IJV�J <br /> Y�- Q�{j u.> C.��..a.s,�, Il2_oc-✓ h.�C��-f-o?rvu�-�' <br /> ) Y1'YL ) '�" `J',�2 t�C-� e• � i��l/� Cl�lt��¢�' r <br /> 2I 114 t-0 z, 15 0-4,t ev / rt./ 07" 14 <br /> ef <br /> � 3) 12sL�-r.�.�:,n— � i�.�cv.�• �-i vl�. r>�u w�(-e.s fs ce��.�J� <br /> CW— R�e� C' ,4 l� � (Fir 2 <br /> A� <br /> 42408 <br /> JE APt_ E0 1112131 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />