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' Wastes Tire S ,-. vey & Inspection Reptit i SURVEY REQUIRED <br /> Stat of Californi <br /> CIWMB183 (New04/04) Comments Form <br /> California Integrated Waste Management Board_ BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> - rp - O Inspection <br /> Site _ <br /> Q� � ( ' I <br /> Site Suffix: Report I L SUU <br /> Number: <br /> LInspection Number on the associated Survey form(Page 1) <br /> Comments <br /> C t . <br /> t i qyr i C41 W UJ 0 0 rLs <br /> etn� f c 1 cr., W, 4u) Unp 5 a <br /> can S 11� j !2• <br /> �� - , c, JUG( Otc� Gl Val <br /> ct <br /> S j t S <br /> bkon <br /> �1 fiO--r <br /> CS , <br /> 42408 <br /> E_ ?f � ��I l;P � � 1 ! � � t <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />