Laserfiche WebLink
( __ Waste Tire S vey & Inspecti®n Rei rt SURVEY REQUIRED <br /> •••'•` State of California <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: I 3 5 L v' � �% � � Report I � – 1 Z � ,$ ! Z 3 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> I) 7 P �3-i�..,�-L C v`a..- l./a � -�i��1. GAJ 1 ✓L Cif+-t CJ- a <br /> -FI e-1-C l vkiQle? juof 1 �6 ub-ct-, <br /> �a <br /> l,l'-Vl 6L-kL4A4–.— e�_ f Ory)`.�t�. f)� �GL L-t•fC-s rtv–e CiC.r <br /> JE XIA MIPILIE1 1112131 i 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />