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:Waste Tire SiWey & Inspection Repgt SURVEY REQUIRED, <br /> k•a a• State of California <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board _ BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- _ - Inspection - _ i ` <br /> Site Suffix: 1 I ` Repo I 2 —1 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> „�,`�� <br /> W®nZ ca►� �G��) l�.s a-� Q C'c"tC�A- b� Y�2 _ <br /> f <br /> Z� T��� C�c-�t=•�-z cam, ;� pc�� � i+�j+�i'� – <br /> U& —yt cs�cc _ �''� yy�ur� a('S �isPa sau� <br /> CL �ac� ( 3 keGS�S, <br /> A-\,,-\.S t) <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />