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Waste Tire Sdiey & Inspection Rep <br /> SURVEY REQUIRED, <br /> ® State of California ■ <br /> Nuilu CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board _ ____ BLUE OR BLACK INK PEN _ <br /> Business Profile Inspection Details <br /> TPIInspection <br /> I Site -Suffix: Report I 2 — .2- '7 -7 7 <br /> 0 <br /> I Site ® t <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> — o iS g-- <br /> A-. — <br /> '' �E <br /> +L ✓l J ✓1_tZt� rK C1 d1 eC`w T�L r n Y Z4-- <br /> t - A6c-<.-,4 2 <br /> lclr -b pv -Zt <br /> IE XIAMIPILIEI 1112131 42408 <br /> f ■ <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />