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:::A. Waste Tire .'vey & Inspection Re fit SURVEY REQUIRED <br /> •••jam• StateofCalifornia <br /> 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 (J I� l Report I 1 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 1 V�lX�✓ - <br /> v` - sfs. i? -Z, cz-u <br /> I <br /> I-T,5144 - 5 f(AT(�r !�7 Z D&V ; Qakl-f, �. <br /> IA j <br /> JE A P I e 1 1 2 3 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA ■ <br />