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' Waste Tire Sey & Inspection Reew <br /> SURVEY REQUIRED <br /> •:1! State of California <br /> 1 <br /> WCIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection <br /> Ste Suffix: , 3 O ) Report = — ��"7 7 f <br /> l Number: <br /> Inspection Number on the associated Survey forrn(Page 1) <br /> Comments <br /> t� G 7L <br /> Avr C-) f-0V1zC r" <br /> A l c:fe-s. Fe <br /> �l dl�-� ej, �,��,,. �� e-L--4f - I ter, CMAC Ute- ca•, I <br /> Yyc l� <br /> Ne <br /> e- r <br /> C72 r�,n,�tom• '"7,.rr-� G-rn� t��� <br /> s <br /> en,1-- ,iv, Kt )),i e- /s <br /> JE 42408 <br /> : ALT �, <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />