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_ Waste Tire favey & Inspection Re 't SIJRVEXREQUIRED <br /> ••'•• State of California <br /> • —" CIWMB183 (New 04/04) Comments Form - -- - <br /> California Integrated Waste Management Board _BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: - Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> bu .Send ber- a�[ o?PCF7 -i�cAA hP. i-�s <br /> &/1Q,e S <br /> G r� T, Cr�✓1 � � <br /> � ►� enict�i �vt �2c�-n l� ✓ <br /> - <br /> I 17 U (G- <br /> � <br /> 15-11 <br /> �.�e - ids � �n��►� b�� a� a��. <br /> f <br /> - - C r60M !�aa.pp1 <br /> numbier 4y- -this ar -A <br /> 7h e- -rf--tZ-0 n Lzm be r i3 15E6180/ <br /> 42408 <br /> JE,XA,MP 111-2 3 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />