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Waste Tire S` grey & Inspection Iyer tsuRVEY REQUIRED <br /> State of WMB1alif(New Comments Form <br /> CIWMB 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPIO Inspection <br /> Site Suffix: I / c) 1 Report _ /� — JJ :2, z- 0 <br /> L 1 ` Number: 1� L <br /> b inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> IL � 5 cn' <br /> 01. �ch� est 1 <br /> 6-1L fi'Ydyl i 'i IT <br /> ,L <br /> plzv ` y � <br /> J <br /> -' <br /> •+�'C• i ��C i� C I r �J �' r � , <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />