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_ Wastes Tire S vey & Inspection Rei 't SURVEY REQUIRED <br /> State of Californi <br /> C---- --- <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> PID- I C _ Inspection _ <br /> Site Suffix: J R I Report I 0 -S <br /> � � � Number: � � � <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> r <br /> NAc-s <br /> A 5 Civ <br /> Q _ <br /> 14-S _vj-qtc.._(-wX <br /> MSA))f�� AD 4-YAL5�1�_ , X Ills <br /> ue4z, A,siz,-A o 1 u P% w on <br /> AAc- on <br /> r <br /> fl <br /> IEXIAMIPILIEI <br /> 2 3 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />