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-= ve I <br /> Waste Tire Inspection e 't <br /> ■ ""` y tiR <br /> p SURVEY REQUIRED <br /> .._.. <br /> "'�• State of California <br /> CIWM6183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK P E N <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: t b 3 i f (,, - 1 Report I I 3 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> No V V kl: 0y <br /> L t 4-tA LA ye f Cr - 41,&4 f i�c: <br /> —�4 L- t�fs�cat�cal f,i rn�- 1^rCf.[A.e_f �,r ri IN",' <br /> - 7th'/ D &A146,ee&6- 4- <br /> L - <br /> J&-y, CL-IL Lai P3G�, ��(� 60-0 s 740 <br /> JE R A MIPILIel 1112131 —42408 1 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />