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Waste Tire SL, jey Inspection Rep p SURVEY REQUIRED <br /> • <br /> State of Callfomia <br /> ka - - <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details — <br /> Inspection I <br /> TPID- � � � o �fi ` Report <br /> Site Suffix: lj l� 1 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Covv',\-� C' <br /> ec L s . <br /> 6 y\, C &kx >^ <br /> 42408 <br /> JE API LJEJ It23 0 ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />