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Waste Tire f 'ey & Inspection Re, SURVEY REQUIRED ■ <br /> ■ ,t =iri State of California <br /> IIA�IIIi#iii CIWMB 183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: g j g Z - U 1 Report I j _ L/ $ �� <br /> Number: i <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Or a.4'zEtso�Cr Y7 ez r-on. _ <br /> �u'rr' - %S LCC't _�p��JfDt.L��fr ft1Y 2 7`rL — <br /> Cat--* �`lc[ter lr �y__—�-t' LClt� �oY� �►�' �'� �Y�—`7�� <br /> JE <br /> XIAMIPILIEI I —T—i 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />