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:Waste Tire S-, ley & Inspection Repot SURVEY REQUIRED <br /> ••"a• 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- Inspection <br /> Inspection <br /> �/ <br /> Site Suffix: I S ? , Report I i — '� 3 Q 0 3 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> I. Pr�� rC��i� � �B�I,Sd1.1�SSD Ee.c ' �c•�1,,��5 �c�� — <br /> • `�F'=5�— t L �r �(;,-�VAl 6-t— oocs5 % eA <br /> C��LI <br /> �ne t Q� cis <br /> —& <br /> �n <br /> �^ o <br /> ' 1 �5�Fs`1 �1�8�ty 100397 `'1 103 1 7� Sat <br /> 1Az 21t %t � <br /> .1947o3 A z FAl << �1 fir <br /> 1 �z +1`i t GO <br /> tp 12$113 <br /> 25yany S- (�2�e �- O h s i <br /> y�2t�— <br /> JE A III <br /> 3 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />