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_ Waste Tire S_ vey & Inspection Rer t SURVEY REQUIRED <br /> •"!'!• State of California ---- - - <br /> EON CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Site - r a 1 /p - ® Inspection _ '7 7 <br /> Site Suffix: 1 �j —` "� Report = Q L / <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> *j i V\Com, ' h G <br /> A Lk <br /> CAVA <br /> Zo <br /> �•—�c�. �= �im (4.(�� ce-ca <br /> •1 c <br /> 41, <br /> s X <br /> �M,4.. C.P_ cplt (Colo11EXIAMIPILIE1 111 <br /> 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />