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Waste Tire SAey & Inspection Rep& [LSUR 1-1 REQUIRED <br /> ■!:'_! State of California _ --- <br /> CIWMB183 (New04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- v Inspection <br /> Site Suffix: r "1 2- a 2 , Report I ` — ` `L 3 y 7 <br /> 5 ( <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> �b Cey.�cCY\. / <br /> 7 /2-3 I2o\3 . l V o�a��oY•g <br /> C <br /> 42408 <br /> E; A Jdt P (r E 1 1 273 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />