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=Waste Tire Su -vey & Inspection Rep SURVEY REQUIRED <br /> State of California <br /> CIWM6183 <br /> New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- n Inspection <br /> Site Suffix: I g q 6 <,S - 0 Report ,r1 ^-? -� <br /> Number: L 1— v <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> VtS C-:6 42n r c4-,- Lc Ar— oLnc�) ,f _ <br /> 'is-Man I ��f�, rv1�t.�v�r--, _Izvt Sol Ax— q25 <br /> l <br /> � {�-- �., '�'Lt�3 -�„����.� �•� C�Z�.� lir �� ����i_'r1!- - ��a�Ji <br /> �7✓ �xe.zrt��_ �vt �c�/'2„_77�,.�t �,✓ti1,2_r'J - <br /> 4— V 1c, Wt.LS+ rJ'! �n1�T- 6>101- t aUC1 dGl �� �Z&,— nA1y,,C Z <br /> IE XIAMIPILIel IIIZ131 , 42408' <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />