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Waste Tire grey & Inspection ReAb-t suRVEY REQuIRED] <br /> • State of California <br /> CIWMB183 (New04/04) Comments Form - <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- <br /> _ O tion = _ 6,� � � 1 D <br /> O <br /> Site Suffix: Report <br /> ort <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> r 1 r1;11.4 S mss'' Tru I' ,� —�Vu_ <br /> u L r ' <br /> S_ (11 1 CAki rj] 0-,<N n-507tc,_ bloirt" <br /> Iv cjs ugAl bjA -MS LAv7lty n wU _ <br /> A(,X Nk)t&5)(,.) ow-i'l"4 S WS IIV-11 <br /> �f L, pt��i cn M �A�v►`� �� �,Ni ne��fl �c,�_ <br /> 42408 <br /> JE XIA MJPJ �JEJ 111251 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />