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i.;,. Waste Tire S` ,ey � Inspection Rep <br /> ..__. [!UMEY7RE7iQUIREJD <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 <br /> t 5 1 , e �^ Inspection <br /> TPID- _ <br /> tJ� J v Report <br /> Site Suffix: Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 1. c `wCLL I <br /> 'v TOr - <br /> Q <br /> (Aiut 1Out ria-_� <br /> , e <br /> pf tYl p. �1�5 0*nnL_Ve! (tq.In 01 Ac,rS t NJL A (4, v <br /> i O N i S¢, <br /> --r��V��-�lSl��aSc.�S._dS � .c,�v1,�I-� �I-� ► n �1n�uJ� ��e �n Dp. s:.�. <br /> 5 D, � - -- - <br /> 42408 <br /> JEXJAM 112131 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />