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Waste Tire -.uvey. & Inspection R( ort SURVEY REQUIRED <br /> ■••''+! State of California <br /> CIWMB183 'New 04104) Comments Form <br /> California Integrated Waste Management Board SLUE OR BLACK INK PEN__ <br /> Business Profile Inspection Details <br /> ® Inspection <br /> PID- <br /> Site Suffix: Report U <br /> _l l.P � Number: � � �,�, "� 0 � 1 <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 14A M <br /> Vo A)oun ��vi aj <br /> 3 Fau <br /> rC� cr-� S <br /> kcwy— k-w-jo n.,, e MAC, (011q 9L— <br /> 1 T i fc/S (QTS'L w,-- Se, v <br /> I E X1 A MI P I I El 11 M23 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />