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::Waste Tire S.... iey & Inspection Rej- t SURVEY REQUIRED <br /> kaOState fCalifornia <br /> CIWMB 183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: Report I I — 1_ I 4j <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> e- <br /> 9(-) nen <br /> *T,-Ye--,s, eewe-rc-Anr-) <br /> +,re--s et)n-� m&Af c>j <br /> Jane- lei n A( <br /> R/ C-rZ- 47zqi-A-4n--,4 <br /> JE XIA MJPJ �-JEJ 1112131 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA ■ <br />