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Y h <br /> SURVEY REQUIRED <br /> _ Waste Tire S ve & Inspection Re t <br /> State of California I, <br /> CIWMB 183 (New 04104) Comments Form <br /> l m l <br /> California Integrated Waste Management Board _ BLUE OR BLACK INK PE_N <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: Z 9 j 5 Report j — 0 (� <br /> Q <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> !Comments <br /> A/e ks <br /> tntivvc��4,,Pe - �c.k , N<��i ?��s �/] :�l�r» L✓�c L, <br /> e�-t ; r.. a t l Iy►e�an (!c c I-c p>,- ►'{c _� c S'. -- <br /> 20 i o ,t-to <br /> �n r,►��c.�;ova . <br /> JE XjA jP1LjEj 1112131 42408' <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />