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Waste Tire Su. . ey & Inspection Rep(,- . SURVEY REQUIRE ■ <br /> ■ ., <br /> State f 83 California I Comments Form ---- -------- <br /> CIWtdB 183 New 04104 <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> ,n Inspection <br /> TPID- _ <br /> Site Suffix: 1 L V Report I <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> �ru s t <br /> C rc b - - - <br /> II-- ' ff�, <br /> o Uyy—, <br /> OC),o Gl V cL&h17 <br /> 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />