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" Waste Tire r' •rvey & Inspection Re rt SURVEY REQUIRED <br /> • _a State of California <br /> CIWMB 183 (New 04/04) <br /> %,omments Form - - - <br /> CalifornialntegratedWasteManagementBoard BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: 7 0 r Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> No V",o 1c�,F�ten-,r olf- cv►fx Q c o,l( C d7na rte. _ <br /> 2. Ala Aref Gc-rc S-1-tr2c/ Gir} _zie,-- 6,ww no <br /> 1,Lf49001 /0 A4 JL r114�efe l—moi eyll- —' L26a, Ck't-, <br /> & 6Z-,9.4!!:O V,.O-A_ lZd n S-hP ,�/-cam r <br /> Sew:c�c fA--r &/r_� 6,zlw2c!!�n <br /> JE A- P-r-TJ �JEJ 11 3 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA P47 <br />