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SURVEY REQUIRED <br /> :Waste Tire SAkey & inspection Rep4k <br /> •'•��' State of California <br /> CIWM6183 <br /> 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: 1 1 L Report <br /> � d t � Number: / <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> &`wee- DYE�-4(MV 121tC\J G'y'L —4/1 k � w.�Z�7 Z,c ' <br /> J l�C.7 d b(rte i 1l�i2,S Bim' t� b � Cr�.-r/►� <br /> Alv I-Cs <br /> Aafes'' M r-C l L <br /> �11cJw!> l3- �✓v�hc.a�>�nc —rte, Lo <br /> c 4-TL � F _ it .S c� �,�.� }� �a9 <br /> a i fj -vic c,� -f— � t—i �I L �L�,- _►C <br /> ✓ zyv2e.J .n,� tai 6r �--5-- <br /> 1- <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA Ed� <br />