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��. Waste Tire SL jey & Inspection Rep suRVEv REC�UIRED <br /> State of California <br /> —u —— -- <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- n e� <br /> l 7 (/ �y Report I /� — l— -7 <T 0 <br /> Site Suffix: � [ V l Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> do c C <br /> LL ss Ci_t� C3 r <br /> �\�_ __'", Z� �r,✓� LYt S a� V-t\rz'��, � R,�F— ��-✓lG�'r�f <br /> 4 e ,.� .-lv e���dzrrri ✓� t� <br /> - , Q!D Mc- l <br /> e I(�SSG ;A�t`i�/` °'C�G� I L .,T�,(}Lc- �t Hca [1,�__ <br /> �� I+�Vt�_ G7�1 <br /> 4� ` <br /> eve,V 0iL c� ►.ate` ! , s�� <br /> 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />