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Waste Tire SiVey & Inspection Rep SURVEY REQUIRED ■ <br /> ■ ■..,.: State of California <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: t � � 44 � � 8 U ( Report I <br /> l Number: v <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> � r'[G <br /> A l c� cy�cA,� c �n'�� p L <br /> .44 Caa <br /> �' 4:2 <br /> YWI 0 `( f3 tTe— OW4 4 -f 4fA/:i- <br /> 9Q 16n I R7!2 <br /> 'got 703 H ta2-v�-1Q i L L t 7� <br /> 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />