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;::Waste Tire S*ey & Inspection Rep _,LSURVEY REQUIRED <br /> •••+.: State of California <br /> CIWM6183 (New04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> � <br /> TPID- Q Inspection <br /> Report <br /> Site Suffix: V = — d 7 7 <br /> 1 � � � � Number: I 230 <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments voa <br /> G.�- <br /> o.. '6�go O, <br /> c 3 . _ <br /> qL <br /> W a� re -0.r;�S - pdsa1 <br /> �� 'SKIS �`uCGt.'Tl�jf \e <br /> JE <br /> 42408 <br /> A 1123 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />