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Lifi <br /> Waste Tire S4vey & Inspection Rept ! SURVEY REQUIREDState of 8183 f(NewComments Form <br /> CIWMB 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- /,, _ Inspection �1 <br /> Site Suffix: ur C� U I Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> e <br /> �-) QO CTL• <br /> 1�•n _ <br /> �.� I UC_'�Zc:t..►-�. Gt�E.I, j,Lj��,�-�(.t,�. iN�FR-y�;:�is-�P',,� r �.,�.`��G�S a�.. _ _- - - <br /> Lb LA_3�-6es c :4L---j <br /> f occ t, w- - - - <br /> 42408 <br /> � X � 1� P LSI 11273 � � <br /> White Copy.CIWMB Yellow Copy:Operator Pink Copy:LEA <br />