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Waste Tire SL fey & Inspection Rep t SURVEY REQUIRED <br /> State of California <br /> -' CIWMB183(Now 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- 1 Inspection <br /> Site Suffix: L 6 6 6 ® , Repor: I — ` 2- S6 <br /> Number: — <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> �- - �� Y'\Q- o�, ���; --mss /2�l► <br /> IV <br /> S �� C' v 2d. <br /> - ��- �V�$y�_. �� ��t r o�e� lir <br /> - <br /> - - <br /> 42408 <br /> White Copy.CIWMB Yellow Copy:Operator Pink Copy:LEA <br />