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AWaste Tire S vey & Inspection ReK t SURVEY REQUIRED!I ■ <br /> •••'" State of California --_----- - <br /> CIWMB183 'New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection <br /> TPID- / Report <br /> Site Suffix: �, t L{ a �� b , Number: I <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> � 0 <br /> E�zccb L-,rt5 o v- 5 Inv Cov i.r. -l ns <br /> _aks�� <br /> f <br /> e, 1G ane c � <br /> m vc ty-e- M o yl <br /> C <br /> 42408 <br /> AJt�l F L f : ■ <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />