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ka <br /> :Waste Tire SL Tey & Inspection Rep t SURVEY REQUIRED <br /> State of Califomia <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board _ BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- t U Inspection —7 <br /> Site Suffix: 1 2 ` 1 Report I 1 — 1 2. Z / <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> hGks �� e co: �c�. ��� �—Z� ,? MtScue.. <br /> VN <br /> VAV <br /> i <br /> a- c� <br /> I <br /> JE XIAMIPILIEI 111273 <br /> i <br /> 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />