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Waste Tire S� wey & Inspection Rei rIR <br /> t suRVEY REQUED <br /> HN State of California m - — - <br /> CIWM6183 (New 04/04) C.umments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile I Inspection Details <br /> TPID- (^f Inspection <br /> Site Suffix: 7 /`, Report <br /> � � �' � G � l - v 1 tir: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ko L7��,t -1 y I f) I L- <br /> t i�, isS i�l _ JU Yt& <br /> M --- ,14 <br /> Thi iL- <br /> FETS- <br /> r <br /> A-) A+ �c� � ��� i" cr i <br /> ,t ,,1 n &Qs <br /> 42408 <br /> IEjXIAIhkIpL1E1 I 12I3I <br /> White Copy CIWMB Yellow Copy:Operator Pink Copy:LEA <br />