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:. Waste Tire Sey & Inspection ReK SURVEY REQUIRED <br /> kof.!• State <br /> California <br /> CIW MB 183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection betaiis <br /> TPI - v _ Inspection <br /> Site _ <br /> Site Suffix: � o Report I 1 <br /> Number: —L <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> S �'1 U �A Y, �� leS <br /> 04 r ok-n k S ` 11L r <br /> of Codi�1 <br /> ?) <br /> S 6�1�►n�fi���s Lf <br /> �1 w <br /> C�1A Al <br /> 4 11 its <br /> onOP-1Avv,�� MIP <br /> i7 42408 <br /> JE {� A FYI r E JiT-31 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />