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'. ,. Waste Tire E&vey & Inspection Re*t SURVEY RE <br /> Qu�RED <br /> ® Wi_;_:�.■ State of California <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profilef <br /> �,i ;, Inspection Details <br /> TPID- f T ( Inspection <br /> I { <br /> Site Suffix: 3 '�j �� Report I - Q <br /> Number: ii <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> SS +6)l\ S0 I1TUYu LC)1104, 11t,--Ap proy <br /> -h.ncs s4ore cm- t -e irnQ. 0 +1Csn - tJ� violcx 'Ians or <br /> 1�10- e <br /> 7- <br /> 0 <br /> rnt�{ i- Ine rnc�r,�tes�ed --- ��1�e,n �-rur�s�,ar'ted .n c�uGrr � tes <br /> i <br /> kG U-C more nr Jne n on <br /> C 1 M� at�oroved r--P-(4 1 �eref� .�U�a`+e +irp )ncasvl�Qr <br /> - <br /> ay� <br /> Oo <br /> 42408 <br /> le XIA MJP� 1-1( 11 2131 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />