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■ ' _ Waste Tire I*—. vey & InspecUon Reah SURVEY REQUIRED ■ <br /> ■■rra State of California <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- 0 R Inspection I — : r <br /> Site Suffix: $ V 1 Report <br /> 1 - ol2 � <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Q rIt m �tr 1 1 i s `} f ' <br /> 3 L4) (k CT�(An7t'Ite4S lt,ZLt) y <br /> t 4 c,r i ' C1001 11 <br /> QjA <br /> 3 <br /> 42408 <br /> JE XIA MIPILIE1 1112T3 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />