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Waste Tire S e Ins Re <br />�Y & Inspection r- .t SURVEY REQUIRED <br />!!—I! State of California <br />CIWMB 183 (New 04/04) Comments Form <br />California Integrated Waste Management Board BLUE OR BLACK INK PEN <br />Business Profile Inspection Details <br />- ' S - Inspection <br />Site ffi_ _L � O <br />Site Suffix: �j Q Report I � a <br />Number: <br />Inspection Number on the associated Survey form (Page 1) <br />Comments <br />4GS LI 7 L cJ <br />-�.fc �— <br />___ _..._�. _ i t (es C/l.I�•„ �1-I+- Y11�,d1Qd�—�U - �i h , � 4 ��I l".% '�� � [,�.��� <br />VT� Ls t�]rrl W S M ✓41�CVlie <br />le XIAMIPILle! 111,M3 <br />White Copy: CIWMB Yellow Copy: Operator Pink Copy: LEA <br />42408 <br />i <br />