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.a4.Waste Tire S y & Inspection Repo SURVEY REQUIRE <br /> State of California C - m e nts Form <br /> CIWMB 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> I Bustnes lnspegl I <br /> _ Insppection I ) <br /> TPID- � } ,( � ��� Report <br /> Site Suffix: .� J �_.,JW '✓_._... ... _ ._(� Number. 1.... i F1 / ,. b sG< <br /> Inspection Number on the associated Survey form(Page 1) <br /> t1—i7 6 /`�'�cz .i-a t.z_y"j.2 ✓ i c�..GLr - <br /> l"' i% seT le, <br /> f./��•G4 T (.ftr'� ';_�(`� rr� . ��r:-�,✓r^ � a._ �.�',G2� / `��-�1� '•O-'G� �" �.��,-/��-'!_X'" <br /> 1 X1 A 1 1 3 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br /> 0 <br />