Laserfiche WebLink
' flWaste Tire SAjey & Inspection Repot <br />State of California <br />CIWMB183 (New 04/04) Comments Form <br />California Integrated Waste Management Board <br />SURVEY REQUIRED) <br />BLUE OR BLACK INK PEN <br />Business Profile <br />Inspection Details <br />TPI- O <br />Site <br />Site Suffix: � <br />Inspection <br />- Report I r - 3 3 <br />1 2 <br />Number: <br />Inspection Number on the associated Survey form (Page 1) <br />Comments <br />Pot e, Wit' <br />cz-iv\ G- <br />'�e �- <br />©b1 rz n tee., 5%N `e-- O o�_" r <br />y�Zh�,�n►��'� <br />rokg-ce ck� <br />�` fir- �_ o � � = �o "g: L �>✓► 2�C�t <br />v� S <br />CL 1 C, <br />a e S <br />ter-' <br />ce r. d <br />�-- <br />ANSyoc_o&�i <br />to <br />Ott <br />vin 2" <br />White Copy: CIWMB Yellow Copy: Operator Pink Copy: LEA <br />42408 <br />