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--:,:RZ <br /> Waste Tire S vey & Inspection Rei t sURVEY REQUIRED <br /> _' <br /> State of California �- <br /> L.Elly CIWMB183 (New04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> --5TPID- Inspection <br /> Site Suffix: :l C) Number:j Report uL 5 <br /> C � � v <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> In <br /> A- <br /> - 1-r- t <br /> Ain Ac'�311 <br /> o _ ✓ . <br /> 41 [lie <br /> 42408 <br /> JE XJAM PILIE1 111273 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />