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Waste Tire SL ✓ey & Inspection Rept SURVEY REQUIRED <br /> .:. State of California Comments Form <br /> •••M CIWMB 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPIInspection <br /> Site - Report i I <br /> Site Suffix:. ` �y *� '� Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 44 Lja,-) 12o-r4;I11�c,cSi &A 4JAeS a it <br /> DIVI-S d4yy e4---*3 ot— ond 4 r, J*Pli <br /> Abcr as . <br /> 4 <br /> S ` LAI Q <br /> YVIQ!6-�v 0 tit 'tT ¢��— ��l i � � ger r✓► <br /> �1 j s moo)Lf - - <br /> r <br /> ' - <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA d1 <br />