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Waste Tire ey & Inspection. Re <br /> • `:� state ofcalifornia SURVEY REQUIRED <br /> CIWMB 183 (New 04/04) <br /> Comments Form ■ <br /> California Integrated Waste Management Board BLUE OR BLACK INK PERI <br /> Business Profile Inspection Details <br /> TPID- s Inspection <br /> Site Suffix: I D J -i I - Report <br /> Number: <br /> Inspection Number on the associated survey form(Page 1) <br /> Comments <br /> r1A : C�� f <br /> .r Rig <br /> L _ .fru <br /> 1 - <br /> 4 - <br /> ,!t T <br /> •,k r <br /> �I <br /> 42408 <br /> X , P <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br /> ;I; <br />