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Yd+}JJ•�J"'t':'::'��ff�. _.-.� �. f�i._....::rcrduL-:u"%re.:uaa}:.6_ 4r"s�'.�.:..':...rr:Y.s - <br /> Waste Tire SL. ley & Inspection Rep a SURVEY REQUIRED <br /> La <br /> State ofCalifornia <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> --- ---- <br /> Business Profile Inspection ection Details <br /> Inspection _ <br /> Pe Suffix: I J �� �� <br /> L 1 <br /> Report <br /> SNumber: <br /> l Inspection Number on the associated Survey form(Page 1) <br /> Comments — -- - - <br /> JAL 3 Lain <br /> II l <br /> ll <br /> 4- <br /> i-,V)►- � <br /> gn <br /> p - <br /> caen <br /> l <br /> wt <br /> r <br /> r - <br /> c <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />