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WasteTire S*vey & inspection Rer <br /> St te of California SURVEY REQUIRED <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> + ,ems Inspection <br /> Site Suffix: Q <br /> - 1 V v / ` Report I ` — <br /> Site Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments ---_ Ste' � _�e,�.e.•.�_ �c:��:,.s �.�.�e�;�>o�-"��Sv�c� <br /> C>v\ <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />