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LVZZI <br /> _Waste Tire Spey & Inspection Rer 't..y. SURVEY REQUIRED <br /> State of California <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN_ <br /> Business Profile Inspection Details i <br /> TPID- ` r Inspection <br /> Site Suffix: 3 t' l 3 / (7 ` Report <br /> Number. 5r v <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 5 <br /> . 1 <br /> elk- <br /> Cc <br /> v 1 L r <br /> cam <br /> Zv_v_ , 1z <br /> JE xIA MIPILIEI 1112131 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />