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: Waste Tire S. �e�/ & Inspection Rep SURVEY REQUIRED <br /> ■••' • 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 /> Site Suffix: L� GJ "1 Y J- G , Report I ' — /I �/ 9 0 ]J <br /> L Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments - <br /> �.YI e� [N(�r�►° _ G'1.M1/t.�.�l.G.'n � Tz^�N1 S�J�2M ��/ <br /> �T 6 ;t�4 'Z✓ C Vt�',Ur'r a <br /> ,71 <br /> IE XIA MIDI OE1 I f 12131 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />