Laserfiche WebLink
Waste Tire S vey & Inspection Rer <br />• State of California <br />CW <br />MB183 (New04/04) Comments Form <br />California Integrated Waste Management Board <br />SURVEY REQUIRED <br />BLUE OR BLACK INK PEN <br />Business Profile <br />Inspection Details 1 ;/ <br />ppion <br />Re <br />Report <br />Number: <br />Inspection Number on the associated Survey form (Page 1) <br />- 9 L �� - I <br />Site Suffix: ( I <br />Site <br />Comments <br />�-�-Iv�,prnd:,.�' a�+v�11 � �.zx�.�• �� CT�� � I 0 �t �-��3) . <br />� +-- �- ►�� t��-zr�-.y Luc, LC ol'oN, tc Ln a �f -orb i if <br />---- - w i��- l izst -x•Zs� " 1 fa ,��3 c,,L 1.- 01 L1 � <br />au, ixaew pw 3wc y5 aft -d kaL� <br />tau 5kvui, AJLi, a.1-- 'I" kaf- . <br />1,r 1g' ltwlf Ti YLIL- � �• <br />E XIAM P LJEJ 111a7_1 <br />White Copy: CIWMB Yellow Copy: Operator Pink Copy: LEA <br />42408 <br />F::i <br />