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Waste Tire S vey & Inspection Rei. A SURVEY REQUIRED] <br /> ----- - <br /> •!!•�' State of California <br /> LU I- <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> J ¢ 1 Inspection C ] / p <br /> - 1 6 3 O 0 j Report Z LIJ Z <br /> Site Suffix: <br /> Site Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> UE73� 4tVq� 7-12-3114. I-r))t/!#/-/57 I,-11�, C <br /> -XIA MIPILIE1 1112n3 r 42 <br /> 408 1 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />