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Waste Tire SL ✓ey & Inspection Rep t L SURVEY REQUIRED ■ <br /> •aa+�: 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 /> Inspection A -7 <br /> TPID- � � ' ,� Lt <br /> O � Report I - L l <br /> Site Suffix: ` Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments -- - <br /> Sy <br /> r <br /> Ires,� lig 01 , <br /> Alt —Li ^1M C4j4 i 1'c �)�'t/�' LYd-� C� l C,61,c <br /> 46, <br /> 1C'��-J <br /> t#- /co i 19!gf 6L LePI c ;c 6 <br /> 42408 <br /> 1E X AMP' IT " ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />