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Waste Tire "S, ,vey & Inspection Rei._ rt <br /> SURVEY REQUIRE® <br /> M. State of California I _ <br /> CIWM6183 (New 04104) Comments Form <br /> Califomialntegrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Site - { � T'� c 0 4 Inspection _ L4 3 0 <br /> Site Suffix: ! r `"� � Report 2 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 0 8 Ce - <br /> V—\ f0j- 1,-X;tA& cot <br /> ��� m ����-�s����-�1, A A (A SAXI Abd <br /> r <br /> �t9I I tw- <br /> 5 Z.P,i Ip17A) t 41-174 r)I+C-S fC1u�� rc�'rii 1�I� LaS' <br /> 3 �A&A c:�, <br /> JE XIA MIPILIE1 1112131 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />