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: Waste Tire SL_ /ey & Inspection Rep L <br /> SURVEY REQUIRED <br /> D '• State of California <br /> I CIWMB183 (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: l () 3 �] V Report 4 �] Zt <br /> Number: �C► <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> im �"'P\ <br /> O,Ar� QtrjX"_rA C• <br /> Al n z.4-7 M/1 ATt6\, C) <br /> dcP <br /> `U til +-cam-y1 t,�,,. �S �_;,t t11LY' �-►2 L'Z,z-r��ti r <br /> 6�21 <br /> 1, & +'m Oyl <br /> 4c,4— LXJsC 5 r k0tiAr_ 4 t' S14 r0?—C_ <br /> va l� <br /> 4�7 Ila 0 �t c,✓[A 1A`r L& � G�,lw&n <br /> C c <br /> -AAC16�� <br /> E I 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />