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LWaste Tire Su. vey & Inspection Rep, --ii: SURVEY REQUIRED <br />!.I! State of California <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:A `� , Report I /� — /f '] / OF <br />Number: <br />Inspection Number on the associated Survey form (Page 1) <br />Comments <br />14 <br />Q„Iv �,c,.�,� e-,(- <br />L Con�ryrs - - <br />F9 <br />JE XIAIMIPILIEI IlIZ73 <br />® White Copy: CIWMB Yellow Copy: Operator Pink Copy: LEA <br />42408 <br />i <br />