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Waste Tire S#ey & Inspection Re; ! SURVEY REQUIRED <br /> Stateo (New <br /> Comments Form <br /> L2 CIWMB 183 (New 04104) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> inspection Details <br /> Business Profile P <br /> /� II InspectionReport <br /> Site Suffix: � ,� ,� � �� � � (.! l Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> SYS �l C�, ►_115 C't�� ,C� 4h L�rYIC- <br /> t,J► �� 1 V c� <br /> l , - CTr Apnfct l 6&-n- ,Le, <br /> e, <br /> 318 POLO zc-v r� -- -3 <br /> 5C� �'► C� Y_�cL ( —s- ��7L —nom Yy�c► <br /> 5 C <br /> Wlu m4—e ktaide <br /> ` C P I 42408 <br /> XIA <br /> JE 11 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />