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V Waste Tire S..- ./e Ins Re <br /> �::_� Y & Inspection p g , LSURVEY 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: 9 <br /> Report <br /> Number: <br /> Inspection Number on the associated SLrvey form(Page 1) <br /> Comments <br /> 1 �e <br /> ARA, <br /> 1 , <br /> u , l� Ct' Av4 S 1 <,\j _ <br /> sfi v 'l iA L j <br /> JE XIA MIPILIE1 111275 <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />