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VAWaste Tire Sl fey & Inspection Rep t SURVEY REQUIRED <br /> La• State of Califomia <br /> CIWMB 183 (New 04/04) <br /> Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: { 5 -( V Report I 1 + — 1 2 u D- a � I <br /> Number: �"` <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> MIA kLA-S <br /> - �- n rLA (tell� 7) Un+CA <br /> 50n of 0 (01441A 6n,)1 fvn <br /> kPA4-��NA-� \j <br /> c.li�W01,AYV,1 s Gt �b <br /> 1144 +0 010q)' h j T V-C t I'Q�,j a)A n 'VJ <br /> 42408 <br /> JE : A MIP1 � E! Sed <br /> i <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />