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UWaste Tire <br />■���i! State of California <br />CIWMB 183 (New 04/04) <br />California integrated Waste Management Board <br />SL. ,vey & Inspection Rep, <br />Comments Form <br />SURVEY REQUIRED <br />BLUE OR BLACK INK PEN <br />Business Profile <br />Inspection Details <br />TPID - <br />Site Suffix: l Lf <br />Inspection <br />Report I 1 D 5 J <br />Number: <br />Inspection Number on the associated Survey form (Page 1) <br />Comments <br />`e YYdlll r<_A tom- • - <br />i , L- <br />�r 3-► -z►vt vzf !� <br />ey. /®-K -t Z, •'\. r% <br />6te l L,U kut,�>__ , vAfz-- 6 -77 <br />av�r�AM�c�c' <br />ea c <br />04,)..)-4 <br />0,t, Vnct, V, <br />JE XIAMIPILIel 1112R3 <br />White Copy- CIWMB Yellow Copy: Operator Pink Copy: LEA <br />42408 <br />