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Waste Tire SL ey & Inspection Rep _ I SURVEY REQUIRED <br /> •••'+• State of California L -- — <br /> CIWMB183 (New 04104) Comments Form -- <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: ' 2 7 Z b Report I I - 'L ` Q 2 C) s <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 6• '���� Sarce V��: �C o� :S V�o.��e�- \,.JCS Vy -,�, <br /> -v.;_G je- -t cCA \.. CS, co @"C c ce_C�, to <br /> via-f> rk-qa:.fin. 2 t'4��: U►� • Ve1�:c��2 <br /> -7.) <br /> Nye- <br /> -Ex <br /> C�. <br /> 42408 <br /> Err✓ � �thP L � 12 � <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />