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Wastes Tire S__. vey & Inspection Rei. t SURVEY REQUIRED <br /> State of Californi ---- ----_...._----.- <br /> L-;---,a- CIWM6183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: �q lJ I Report I 1 - a --11, CQ � 9 H <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Tf x�,Av, f lVS� Y a S <br /> I <br /> / n <br /> 11 S l�S v�`�11 J1 _ �l�S S `(�Ul 1,,L <br /> 6k-1 1\0,)i cG 14c, A S�Cj if LC f . <br /> J <br /> ' z51 S �� S �� <br /> J <br /> 42408 <br /> JE )CIA M R (r e 1112 : ■ <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />