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Lqeggs <br /> Waste Tire SL. rey & Inspection Rept SURVEYREQUIRED <br /> StateofCalifornia -- <br /> CIWMB183 (New04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection <br /> TPID- xx Re ortC,, <br /> Site Suffix: LI `3 ' Number: I 7 - - ( c <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> --17111 -641 S,P nc Pill Avv mtem ay,- -fh c3 <br /> f(o yt < < ylvfL3P - <br /> Li— - - - <br /> �,Vv A-11 -Il ty 5-/crt.3 <br /> a,(l�c,�� (Y1 .h1Nz <br /> Al v1 c SCA�C 114 V!J _V, Di7 cwt t IT--d Ued, 1-�- <br /> M,VD 14 <br /> L/7- -- - <br /> I�� �3 T r�izz.7 <br /> U <br /> COW GJI.c.�1� bGt/LL'2� G�iriL �iMc- <br /> + Irl rr <br /> '� ,11✓t~�/1i G' rrr � >�P,4'M�I 6 1 S / r,�l�J S �Z[inJ Cc <br /> 410t'tAk ► c� z <br /> (o A M I P 1 ' 2 3 :240; <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />