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Waste Tire Sr ray & Inspection Rept SURVEY REQUIRED <br /> Ct1ateWM fCallf(New Comments Form <br /> CIWMB 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile. Inspection Details <br /> TPID- l r - '—-- Inspection <br /> Site Suffix: I I S' 1 -7 ! Z i r—01 <br /> Report I t - 1 01 8 i C, <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> R E co mm21rt amt►-st�eC-e i V) y ( q�t z---- 0 1 <br /> c onc.em, to otC J1 . - - <br /> 1� 7T)r C S f y)LA- 1 b C rnci.n A C= e d (-Am, <br /> quocltA►e s 10 r21f ( no r e- Ii r- <br /> Cyrui—`i.G1h \4 \ j—h,� CE XS L���-f._4'_ ��d`.. �c A re Vy'1 4\4-r -- <br /> JE I A M I P M E 1 1112]31 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />