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Wastea Tire S vey & Inspection Rer. A SURVEY REQState of Californi <br /> UIRED <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: 1 5 6 a $ -7 8 - 0 Report <br /> Number: �✓ <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Ctott��n M�JI I" � Cyt I�l�-f ell <br /> c� <br /> CaZ J ae✓/7-1V Mg--CS L' �� 4t,.c, t(A-r <br /> a-l�1-t3 ka-3- / <br /> Are- <br /> V'V\, cfmn . <br /> 42408 <br /> JE <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy: <br />