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---------------------- <br /> Waste Tire SL ey & Inspection Rept SURVEY REQUIRED <br /> ■■•'�! StateofCalifornia <br /> CIWMB183 (New04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- G - 0 Inspection - I <br /> I � _1 \ ` Report I <br /> Z 2-Site Suffix: V � � 1 Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Gl,�kCc�it�-'�V� r0 �Q1�1 '�V��-- \�LO►i `�C'� <br /> e_ yA c` <br /> _._ tn.�o�vsn�i►- c� w c�� ��ceS Lce i���c� -6�S��e <br /> G <br /> 42408 <br /> APIA i3 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />