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_ Waste Tire SOy & Inspection Rep SURVEY REQUIRED <br /> ■ - -: State of California --- ■ <br /> CIWMB183 (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: b I g ` Report = — r I q 6 5 2— <br /> Number:Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> a.- <br /> Gcu�S c�r�. �lGe-S �'c�r.o.�c O.ce� c�=�S��•�� �c� <br /> Cc� Q� :e,S W`no vSe- .�vv� etc S�oC¢- �cw�5 <br /> 42408 <br /> ■ EAhtiP LJE12]3 � ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />