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:JlWaste Tire S ley & Inspection Rep t 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 a <br /> Site Suffix: C, ' ` Report I l — ' 2 2- 1 � 1 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Co.\1ZeC,xc1.e <br /> Z✓ � �- SP��� �� �� �-�.;s �c� d; �owt <br /> lo�2z/ ce, \k� y ZS vw%_a�� s�S� <br /> MCI�n��Lc�.sr� �� 1�,2er� GJJ!u t vA k e <br /> 2,) <br /> sem. (T�c,�Q - O 1 CQ ��e�J �O�_ P o ►mss <br /> \eNrnii,a -T r h _ <br /> l <br /> 42408 <br /> JE XIA MJP�i �JEI 11 : Z131 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />