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Waste Tirlejavey & Inspection t SURVEY REQUIRED <br /> is <br /> State of California - <br /> CIWMB 183 (New 04/04) <br /> omments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Site - _ Inspection — ' r ,p <br /> Site Suffix: I g 1 Report <br /> l ` Number: ` .1— <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> TH <br /> S3"GC- j Cc,�S+ -*Ie- la.�� S1n�� .Cf-7'�� <br /> 4�� `� ti 1�cc Tyl er-c,-� 11D <br /> ewe ��� i�J�ne� - � �- Cnf- LaS� <br /> r � s <br /> �er 4�-p . <br /> 0'r a Tf 0,Y1 C CA)-AA(i onN e r- <br /> +3 tl6� ha o ler <br /> s0 YY ay � 5 fly 6e`i U�r) 0� Q <br /> � yes <br /> ber <br /> jEjXj <br /> AjM PiLi(Et11!3 42408 <br /> !( i <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />