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Waste Tire S ✓e & Inspection Re 't <br /> k <br /> -. Y p �► i SURVEY REQUIRED!_! State of California <br /> CIWM6183 (New 04/04) <br /> Comments Form - - -- <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- InspectionReport <br /> �j <br /> Site Suffix: Number: I ? -7 -7 6 ` <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 0(0-4 (Cy✓►l iS <br /> Alto coc—Annecs-% off- 674 eerras <br /> NO <br /> &L4 l�U Zr� rrY1 �tw� • 6' � �I !.)L <br /> -6 rl-"u . <br /> 13 <br /> `(fit `4 odna inem Vr- cam..yale XIA MIPILIel Ili <br /> 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />