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Waste Tire ~Vey & Inspection Rejert SURVEYREQ'TREb ' . <br /> State of California <br /> ~ CIWMB 183 (New 04/04) U o m m e n t s Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK P E N <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: / -3 U .3 ) Z Z- O / Report I i — / / -7 /O *—7 <br /> 3 <br /> Number: 7' <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> -�-V r-!O�!-`{�clYr;5 c�-Y �Lvr Qts n�"�o,•,�r✓�.� <br /> 12Q0 <br /> JEL A 3 42408 <br /> f I� .7 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA r� 1 <br />