Laserfiche WebLink
r--Waste Tire Sve Ins ection Re rt <br /> Y SURVEY REQUIRED <br /> ka <br /> State of California „ c Form ' <br /> CIWMB183 (New 04104) Comments 1 ori 11 <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: 1 G Ll 5 © I Report I /� - 1 /� -7 --) 7 21 <br /> l Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> r1�'�-��,� yt37 e' 1,�1 �,(Ki-+�✓VL�C� �'�Y'► �4�Z ��,� C���� <br /> os 4YZ4.tLA -� ^dr-- AgrQ44ry on- LOCQ-.fr� " <br /> dJ- <br /> ( 444 c <br /> in So ayFensz..� *2 AV2-14VL43� <br /> CIA I/-77-1 Z- <br /> A ,1 -1 , ate+- aA2 rte_ 7�"\ <br /> � <br /> Com �►11Cr�_�rs� � 'T t'�� 4'lS� � vi dyrl +'CJ <br /> V\ dOC t,la'�wlz✓ lT'l -S�L@WI G L `{Z'�S <br /> 42408 <br /> JE XIAMIPILIEI 11125 <br /> White Cop, 'VMB Yellow Copy:Operator Pink Co, SA r� 1 <br />