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Waste a Tire Slvey Inspection Rei .'t SURVEY REQUIREslate ] <br /> CIWMB183 (New04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- ` /1 1 Inspection c,, !� <br /> Site Suffix: 1 S v -1 3 �j - o L_ Report I 1.. - .L V—� -LS <br /> IL <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Ft,T1z,1;+V s &-40ale, cy-, Sim W-Vi csr. <br /> &fyI' <br /> i6 - C- e� <br /> 'eU.r tcyi ��t"s -Q� +Yrt- <br /> �c s� b I _�!CJf y- •� �ti mJ <br /> wvl�t c_,- 4y (W <br /> vi e. . <br /> • �Q�D C9-. �1 CoU 12� f„1.O�S PDs I C} CAV(4% h,V�q. �Q J fcd�fiW <br /> In i; it-c. U fes, <br /> 1S <br /> to & (3 J-, <br /> 42408 <br /> JE XIAM PIS 1 ' Z <br /> i <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />