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Waste Tire S' rey & Inspection Rep* S� URVEY REQUIRED <br /> State of California m <br /> , ` <br /> k1w.f. ClWMB 183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK_ PEN <br /> Business Profile Inspection Details <br /> TPID- 1 �+r� Inspection <br /> Site Suffix: 1 6 1 6 l� 1 Report I ' — ` 2— <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> S 5 oa 6`L- 01 <br /> 1ri4 �� _6-�z 4rzls SA- k AI <br /> C, W cx �A�( \` �f2 5,5 0 <br /> hoc: w`o-�P-- <br /> wt-r So o <br /> 1 60 <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LFA <br />