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1q:7- Waste Tire ,.,vey & Inspection R( rt URVEY R <br /> SEQUIRED <br /> ■ ': ^`: Stateof California <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- r InspectionReport i <br /> Site Suffix: � � U � � � � � � Number: 'Ll <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> cc rv�a lam-f <br /> moi` -LGA- rIC,c Vl, ' <br /> - <br /> e <br /> ric r ren&- <br /> - - - <br /> -t � - <br /> r <br /> CI,I�C` <br /> i�-��e,����-e. ���_ 1��v `ice►� �1��,l� � .� erg�_ <br /> fv l [ <br /> �1_-��►rrt�-.;-�-,� �t i � �-,-o��� enc)��rt��y� 1''l�c ��!-� �.���!; <br /> r , L r�l� �h.�✓u rl t - -�- l� � , <br /> 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />