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Waste Wire Sey Inspection e t ��® <br /> �� <br /> State of California sks <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> i:i 1110 <br /> ML <br /> EE <br /> TPID- I / Inspection a <br /> Site Suffix: Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> j <br /> . Cc r),h wA< c-w u ownacr\ <br /> I <br /> 42408 <br /> ® White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA ; <br /> L <br />