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Waste Tire S,•-ve & InspectionRe -rt <br /> y r SURVEY REQUIRED <br /> '••'`: State of California <br /> CIWMB183 (New 04104) Gumments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> { 11�� Inspection �7 /� <br /> Site - ` b ` h Z v 1 Report I 4 — 1 G. V 3 q <br /> Site Suffix: <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> NJ�N - <br /> wuz <br /> G�yyne- en �R- .P\C V� RC2 �2CVoC�� <br /> NJ <br /> le A 111273 <br /> 12 3 42408 <br /> Epy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />