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?Waste Tire '#&ey & Inspection Rei S SURVEY REQUIRED ■ <br /> State of California <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- Inspection <br /> Site Suffix: 1 3 L 1 7 S f Report <br /> Number: C�7 <br /> inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> L,!�''QZ CaT�-; nn C Ily 4''C4::;F tV <br /> — A-10 C S — <br /> •l � 'f-W �-5 �f�t.JLt t� �l_�r�l/l.�i'C�' ft�'r �.+.Gt_�'f� -- <br /> Cen 4!.* C,0JrLeC'j'L . _ - CaX214 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />