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°; Waste Tire Soey & Inspection Rep& SURVEY REQUIRED <br /> I��= State of California <br /> CIWMB 183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board - BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- ^ Inspection <br /> 0 a <br /> Site Suffix: ' 6 m Report I I — I Z 1 b 3 1 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> vv,�ox aFox, c'�( <br /> s_ / <br /> g /���2o�t fir, S12ll2ct'�j t`�Svl� t r 2 C`T�-s <br /> C p <br /> CTLs t..�a5 e�v�s:�-e. ��nr�. c9��a lc�j`� �-oG TLy•2� . <br /> Fa.i,x CTL- A!0 Ek�b (zca)-468r �? 292 <br /> CTLs e <br /> s•J t, Ske- k�`Ms aye C,J, .0� 4-e . <br /> T-% e S kc <br /> V,\ 2 4e- u <br /> 42408 <br /> E^ ?C A MI P IJZ <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />