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Waste Tire S -. vey & Inspection R% A SURVEY REQUIRED) <br /> zq <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 /> - „\ v Inspection <br /> Site I _ s V <br /> Site Suffix: (,� Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> IIV des <br /> had, le ou/- <br /> Z ' l <br /> I(OwLne rVid ow s 14 t - <br /> C�Lr �01 DID <br /> 7f a <br /> 534 ) A -3J S7 <br /> Qc>r <br /> �P•e.v rv�;�,-�- �-�c,cLv s i o,n �o+i,�cis-cin �� -__ - - <br /> JE 42408 <br /> • White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />