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■ Waste Tire vey & Inspection Re; t SURVEY REQUIRED ■ <br /> •••�; StateofCalifornia <br /> —" CIWM6183 (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: (f �j �� - v Report I 1 _ ' 2— <br /> Number:Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 464 US<9 NC l'ol-L4 X'r_6%,La r�e 79 re <br /> JE.Xj <br /> - .�Z�--- .I/�Z%t.ti2.� 1��l✓� c� �,/Zc r!� OY! 1",/'/-� <br /> A P jLjEj 1 2 3 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />