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Waste Tire S vey & Inspection Rer I SURVEY REQUIRED <br /> •••'•• State of California - ------------------------- <br /> 211311 CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- ' 8 _ 0 Inspection — S 5 <br /> Site Suffix: Report = 2, z <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ak <br /> 1EXIAMIPILIE1 111 <br /> �.�te.- C-2�f.'�Ct.`1� �,.�esc.. G��,1���, �at' �f�2y�Q-tr� • <br /> -�1l� �� 'P-� 1r� G.�� �G.S� �t'�� �n�vv'►Cts�CS _c���fl d Sal <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />