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■ Waste Tire Mfey & Inspection F a%-. SURVEY REQUIRED <br /> •••'•! State of California <br /> CIWM13183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR-BLACK INK P E N <br /> Business Profile Inspection Details <br /> �] Inspection _ <br /> Site - /,, 7 / f Report 2 — f <br /> Site Suffix: � lS! V Number: � � � <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> to <br /> Com Ct- tv t:.',r k <br /> r , <br /> � <br /> M allu, Yy`x CCurs,e�, 4WLu <br /> GK t! 55 <br /> �f - la�2- <br /> 42408 <br /> IEXIAMIPILIEI 1112Nr ■ <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />