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Waste Tire S 'ey & Inspection Rept SURVEY REQUIRED <br /> State Of California �— <br /> CIWMB 183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- // ,,�.qq Inspection <br /> Site Suffix: ` ® 7 Q V i Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> N o•��-S� 'l`I �v���c �n�S ��s p���ov� ��� �..:r� ��c� �� <br /> Cwt \2.cW1C- �rC%, � <br /> Z �ze C AAi\5 --_Arr,-% c:'A <br /> 7/612o11 ko 61-21 ' im 9Cow, <br /> .�c�So v� W�.y' . ���� ��j ' l,.>cts .c vt sc,�-e ooh r•� . <br /> cXU07A\o,6 p- koc <br /> yc T�,iS �ar_�.�i�SP Gv�`�' CeS S t f.]c�5�e VA r-o—s s <br /> bcaAi or . <br /> JE XIA MIPI I 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />