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=Waste Tire S*Vey & inspection Rer tSURVEY REQUIRED <br /> •••"• StateofCalifornia <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: , g g g g 1 Report 2 Q Z <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 1. N/ Tv-1 ccy, v ) <br /> �I- <br /> C-2c % Y\. Q Cby�S Q S-\,� bCc���►(�. <br /> P rte,\� <br /> �S�) �,r• _( \ off i c'� wi�in�� (�L t oc�S«\ <br /> e7z-P O-rA" 1 73 yemys <br /> JEXI42408 <br /> API � E1 23 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />