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� Wastea Tire rvey & Inspection Re, rt SURVEY REQUIRED ■ <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN_ _ <br /> Business Profile Inspection Details <br /> 'PID- Inspection <br /> Site Suffix: I ?✓ �- Z C3 Za C� Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> — AJo ef ' - <br /> grief <br /> --- - b F t-i(�„rx� �© -{-t"12S �5.�,✓V-c� G�- -{�1� S i 1e <br /> -- �. -+nnet s <br /> mo t Imo i c s t t C:I,c •,,���- c� (c:,C Cjgra n <br /> 4-0 c l oma, Ci <br /> IEXIAMIPILIEI 111273 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />