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r=;Waste Tire S,-. vey & Inspection Rer t SURVEY REQUIRE <br /> ---- � <br /> Stateof Califomia <br /> CIWM6183(Naw 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> �Bu�siness Profile Inspection Details <br /> PID- {' © a - Inspection I _ <br /> Site Suffix: J 5 l © 1, Report L U <br /> Number: 1 <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments - - - - <br /> '+ 1. t\ -646Ts mL/ 4S <br /> moi ) � OJ' S�'V�' �r,✓ <br /> RPAJ AV i <br /> '3 �r�,�' tiS U 5 <br /> - i ds C.t t 1�Vj <br /> No <br /> - OA -151)-�� +U) 3 <br /> CA I <br /> 42408 <br /> White Copy.CIWMB Yellow Copy:Operator Pink Copy:LEA. Boa <br />