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Wastea Tire S, ✓ey & Inspection Rept SURVEY REQUIRED State of Californi <br /> LIM CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- ry t-� Inspection <br /> Site Suffix: o o� / 3 01 Report = _ 1 7 1 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> • >>> 15 Sti U` eziNn Ain G - v i 4 <br /> J- f e -S cz&A N ck 4P--- ill 14 <br /> was � M(1� <br /> v r (e, I in r3 -eCk1 S <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />