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Waste Tire S ey & Inspection Re SURVEY REQUIRED <br /> State California Comments Form <br /> CIWMB 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPI - Inspection <br /> Site Suffix: e Report I — <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> V)wje k)cc,n r� „� c�- _were r,vct,_I rtb_l_e _ -ter v <br /> lr_egLA-e + Na v� o1 a+►ons �,r � �r7c�rn- <br /> 1�1ofie � �YeS mu�� _ s rs n est d � 1_ -�r��r��,TorfC-'6t 9_L.tcin , �e <br /> pt ( U <br /> cl Y, ,-,are of iJVIC-0 +YUY)Soos p� amL4 <br /> WQ �e -17J(e haLADC4ClC:y-n)(L'd In, <br /> 06 <br /> JE XIA MIPILIE1 11 , 273 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />