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k <br /> ' Wastea Tire SL. tey & Inspection Rep t SURVEY REQUIREDI] M <br /> State of Californi <br /> ■ CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- <br /> Inspection <br /> ' Report <br /> Site Suffix: � � � 7 �j f Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> l�(1r <br /> �1n e rw <br /> OYr`r r <br /> ne- h -S, �e- ,4 r►1"�� �.�-�` [� ' - <br /> � I3,-��,��,�.t 'Tye -� �� f-��,1., � ��►1( <br /> -'C Vl.f 7 ��'' tC r Yom/ �-'" y ✓,� Lb�C C' ���", <br /> �L��� 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />