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Waste Tire •vey & Inspection Fier -t <br />6al State of California <br />CIWMB 183 (New 04104) Comments Form <br />California Integrated Waste Management Board <br />SURVEY REQUIRED <br />BLUE OR BLACK INK PEN <br />Business Profile <br />TPID - <br />Site Suffix: Zf / <br />Comments <br />A/a k s r <br />.� 7 Q <br />Inspection Details <br />Inspection <br />Report I _ f <br />Number: <br />Inspection Number on the associated Survey form (Page 1) <br />• —iiel <br />/C� l ! <br />tr/ L V4, rk f�r�rrarlee <br />E X1 A MI P I (_ I El 111273 <br />White Copy: CIWMB Yellow Copy: Operator Pink Copy: LEA <br />42408 <br />