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W Tire Sftey Inspection Rei, SURVEY REQUIRED <br /> •••''• StateCIWMOfCalif(New Comments Form <br /> CIWMB 183(New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: o - Q Report = 0 <br /> Number: �` <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> IVIA S eM,tQ,s c l l X a ydl�j��s e�u►' <br /> Cell��c���WIA s a� �! CA 4 r1,' ti +tS <br /> W" � <br /> u P e. n-LL, �-�. mea, <br /> �3 s o s <br /> S. L tbA 4a-61" <br /> ) 411),& 64-le, 4�),re <br /> JE42408 <br /> ,X� A MRL Z131 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />