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LosWasteaTire S�. tey & Inspection Rep I SURVEYREQUIRED <br /> State f CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile I Inspection Details <br /> TPID- _ <br /> Inspection <br /> Site <br /> Site Suffix: /�� Report <br /> �^ � � V � Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> ------- - --- <br /> Comments <br /> 14 <br /> Tnksv c -'l <br /> Ul <br /> i'Vl. Cid �"L� 1 �(•4G � � � �'Lc t i.� r <br /> LIL <br /> i- J, <br /> 3 <br /> 1 t �._,� <br /> C, 1 i - -v�� r ✓1 c%� . .Q�Cz'f� �E� L)�Cc� �ca. v1 <br /> S oz.s 04 ��if— ✓� C 1v��� <br /> �; A P; L f 1 42408 <br /> ■ ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />