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Waste Tire Sfvey & Inspection Rejet SURVEY REQUIRED <br /> 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 <br /> Site Suffix: S U d I Report <br /> u Number: -+- <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> (As, cTL!s ()r Eal ()n 7PN , <br /> � M5_ <br /> t , <br /> Q <br /> oslt- S Ali r 1, <br /> til <br /> Sso sup <br /> AVo <br /> 04U C�^ � Pct f luA <br /> CXX)UV9, f YY k,M norm) wckl)ss� c�l�(e) L'i <br /> j-jPjLjEj <br /> 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />