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Waste Tire S4Wey & Inspection Rei. SURVEY REQUIRED <br /> ••• State of California <br /> `- CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile - Inspection Details <br /> TPID- i Q � � 7 Inspection <br /> Site Suffix: 1 Z - ® Report I _ I 3 O Z -�j C) <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> k�-041 `- y� G2C c�G Vic- �S tv _ i Y\ <br /> ir�rs 5a,1 I.CoC7 r��5 ot`�� ��ax�ef <br /> -If— 15TA- <br /> s�-e <br /> y� 42408 <br /> JE XIAWhite Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />