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'UJ Waste Tire S*Vey & Inspection ReK t <br /> ----- SURVEY REQUIRED <br /> State of California <br /> --- Comments Form <br /> CIWMB 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: l Report '7 <br /> t Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Olnn� co-`r—%S U <br /> �V�,r� �c,��✓l,4 -� Lys 6 4-c� <br /> .N.svSIL u IVA- 8 14 V1 /-r,,a fly r�(M C.j Vii► - - - <br /> -- chi 4L)n <br /> '09 -- 4n1) LSC <br /> (YI <br /> UdCAc�e- <br /> 61 <br /> IF XI <br /> �q 42408 <br /> �� 6 `. � 1 �' L J <br /> MM <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA ; 57 <br />