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T.-.- Waste Tire= y & Inspection 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 /> TPIInspection —�— <br /> Site -Suffix: Report I - fl <br /> Site - G u J ZI G } <br /> Number. <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ,,Pon Ve 1,Qs+. N o viol Q+i ons or- Cer n <br /> t <br /> 1 nnto---.t 6c 1.)6) , _+Yn__ rv,r(,r+ed 1y) Q_u_t.+ht'Af <br /> �e�r �atned cin-•,l}� <br /> I or CA D 4 qM0Pte— . tkle AXISle m oY <br /> rY)ny) ° =.�fir,�r Co" Y !rA e-n r eF +�o C ejJE <br /> A M,p i 3 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />