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® dWaste Tire Sj ey & Inspection Ike t SURVEY REQUIRED <br /> State of CaliforniaCIWMB183 (New 04/04) Cumments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection J . ..- <br /> � — t-� <br /> 71 S1 <br /> TPID- ` � <br /> Site Suffix: l Report l< — 1 t J <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> IL ( <br /> � ( 0,/ c.:' C_ V`?0 , va <br /> exts <br /> Viol- 6V1 � E' . � � !' ^t�, b .( . tr, <br /> I � _ CY Ke _Vtl-r t .„- �`L.�t` r;F'C , 0 <br /> _f Ij ?', Air f(' `- �� ��.�, tom, _Gt..t' Y,G '")(_e COI4J <br /> , <br /> 42408 <br /> ZP'! del112 3 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />