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J;...g. Waste Tire SAvey & Inspection Rep t <br /> SURVEY REQUIRE® j <br /> •� State of California <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK P E N <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: j� L ' Report I — z- 4 <br /> Number: ' <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 1V V VW <br /> \ � �'1�b Cszv-�►�;;���c v,�u.o Xj�-� eco �✓tG'S b���� <br /> 3 � Out mte,�►�sFs ons; � r�vuLv <br /> , <br /> -04At- ,-Sk"eq CIA., h"5 cv-L .Sdvo - <br /> I E X I A Mj PjJEJ 1 :3 I 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />