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Waste Tire 3y & Inspection Reop <br />State of Comments Form <br />CIWMB183 (New 04/04) <br />California Integrated Waste Management Board <br />SURVEY REQUIRED ■ <br />BLUE OR BLACK INK PEN <br />Business Profile Inspection Details <br />Site • y _ Inspection - ^ I ' 5 <br />Site Suffix: l ALU Report I .1 `1 3 S <br />Number: <br />Inspection Number on the associated Survey form (Page 1) <br />Comments <br />1� D SCS --F-� �A' <br />- <br />-C.�14 -(.f "V'V S �� �r \l e �1(�`e,i--� U l�Ll�t _(� �1Ce eV�� <br />jjc— <br />C, <br />_�0 u e� i �'�s ��� CocaU, z <br />L'[;Ik�c, <br />)ILIE1 1112131 <br />White Copy: CIWMB Yellow Copy: Operator Pink Copy: LEA <br />42408 <br />