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A Waste Tire ve & Inspection Ike -_ __- <br /> Y I- SURVEY REQUIRED <br /> L_�-__ <br /> State of California <br /> CIWMB 183 (New 04/04) Comments Form <br /> Callfomia Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> SiteTPID- �j 0 e Q I Inspection _ L4 <br /> Site Suffix: [ ( In Report = 2 L4 b 3 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> R1 <br /> iS ',k SeA--�o -Servile, <br /> �-e,-- ��r n {►.'f e5�s eco rn .Ln 1A <br /> c. 1 I f CVir eA A2 aeu" 3 <br /> VLt, � L(c,00S <br /> l� tion J 3 <br /> 42408 <br /> ��r� M L E111275 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br /> LEI L <br />