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Waste Tire Survey & Inspection Report KSURUEY REQUIRED <br /> •�� ••, State of Califomla Comments Form <br /> CIWMB 183(New 06/00) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Mo ( <br /> InspectionDalReport 3 Ste Suffix: / INumber. I_�_ `� I-9 <br /> I� _� I� ,� Inspection Number on the associated Survey torr(P ge 1) <br /> Comments <br /> _Icy &AA4wa1 (,L►''Q 6y1,'rac .ed7 -kCk—S JYD-. ler$o <br /> _�c�, pa seer _ r -fi-vi.�� .�.e�- �e�-✓��l o� -.��e o <br /> nQ,D41 hSl'i�Zerl `jP I D M.ae ;hei( iVec� <br /> .evuer .2S WQ UA-;a .tea n i ae <br /> 0 <br /> Leh io or es A es ya,1'I s fe <br /> ren wwt,F,sf erg s o �zck <br /> _ wti` _ OF -f&XS Kzm oyed Ar o nv- Q�x <br /> r` in ache sia s -i n Vo cil a m is sq d <br /> 42408 <br /> ■ EBX AIM P L S I 2 3 � ■ <br /> White Copy:CIWMB Yellow Copy.Operator Pink Copy:LEA <br />