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Wastea Tire vjrvey & Inspection Re, art SURVEY REQUIRED <br /> State of Californi <br /> •���- • CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> isiness Profile _- Inspection Details --- <br /> i'PID- Inspection <br /> Site Suffix: 1, 35 6 �� 7 I ;'> Report I - �% <br /> l � Number. c <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments -- - - -- - <br /> P <br /> 6-yj t l j -7 9006. <br /> -tri ^ tee`_ orf <br /> CJ' l` l ccs ,J-2J -_ �'Y r1ticL_-f?yr- rnrf►yt 1—�� <br /> c•,c�c�vew�c7v-P CA <br /> - <br /> uni ome- Qkl- /?:7L <br /> r <br /> JE XIA MIP T31 <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />