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Waste Tire C /ey & Inspection Re t SURVEY REQUIRED <br /> Stateof California <br /> CIWMB183 (New 04/04) Lomments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK P E N <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: Z 3 c� Report I - - � (� 5 3 U <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> r ,.' <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA F:Mlxd <br />