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_ Wastes Tire S. vey & Inspection Rep A esu vR EY REQUIREDState of Californi ' <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: b q Zi Y J L U Report <br /> Number: Z <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ! &-eqN / <br /> C� <br /> Alu hc-�h' <br /> I l �_ �, l r� �Yl,r� fJi,.� � I ��'11�1•.! �� �GCS i > /�1u i2 r��-L )}� <br /> CLL/CAI, cL ie <br /> JE XIA MIPILIE1 111 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />