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r.;;.,jWaste Tire S#ey & Inspection Rep SURVEY REQUIRED <br /> `•!!'+! State of California <br /> -------------- <br /> CIWMB183 (New04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ��^ � Tl � �C5't�llY�.� 1Y15�C'�71'`Yl �Q�fM�C, o?� •J S C -�� <br /> \ A C&c 2P <br /> 'tc> G cls i-�vvt r r-3 Ccow� <br /> fe-i c/moi\a eY !.z—Zaj PiJ L J _ � `(C�/ jyy- l" <br /> `fin.Zfre,I k4 Ills& r.C'A Ao/l A 0+_ _r4V4 'Ll UY7 —n4az_A_. <br /> *x, _�7cr ��.r S�'t s C }�i�.t 1 tL- X1 1 in o.., a;1y� c, <br /> trvr <br /> VV tJ-_W_ '- 42408 <br /> JE XIA MIPILIE1 III <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />