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r Waste Tire Sftey & Inspection Re SURVEY REQUIRED <br /> ■■■+'•i■ State of California _ <br /> ---��- Comments Form - --- <br /> CIWM8183 (New 04104) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> �usiness P-refll ` Inspection Details <br /> rTPID- _ Inspection <br /> Site Suffix: �...�:� _ 1._ - Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> T _ <br /> _ r • ,o) <br /> _ t /�y —/t ) T r <br /> /'_ !`l f..', r �I j f �� � �L.:�, t,'1..�( i E��t 1 `J� / l� l t f{i 1.�..' �er �.. i <br /> ll lr/�� 4 f 1) - <br /> l`t�'"vti f'o ( i a ✓t �tG:'�a " . Df 1+ ter' _ T� iC)tt li t <br /> r <br /> I C C, n - <br /> \.11 f a t''.1 07 71.- <br /> Pr <br /> ,r tAi 0 <br /> r�, P LIi 1 T 3 42408 <br /> ■ Q ■ <br /> i White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />