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...A. Waste Tire Si rey & Inspection Repet SURVEY REQUIRED <br /> •��' _ State of California <br /> CIWMB183 (New04/04) Comments Form <br /> California Integrated Waste Management Board BLU_ E OR BLACK_ INK PEN <br /> Business Profile Inspection Details <br /> Inspection <br /> TPID- <br /> .7 -7 � - 0 �' Report I /� _f— 6 V <br /> Site Suffix: <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ���'i1�Ci ,�nSQ z�bvt ,(��tl Krt✓vYI�C� l'�/1_ �ti� C�.v� <br /> lc� II VI <br /> C CP <br /> ��, �►�lc�.��s ar A,�._� �� Camra SKS <br /> AJ P <br /> �.6 <br /> -10 2 - mc, <br /> ;T,nom' 7k <br /> C. <br /> oy - ne,mdp � <br /> f, v <br /> 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />