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Waste Tire SL iey & Inspection Rep SURVEY REQUIRED <br /> ■ ■■■.a■ St ateofCalifornia ■ <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- \ inspection <br /> Site Suffix: C 6 Report I ` _ ' 2 1 2 Z Q 1 <br /> Number: 1 <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ce�4e��S tncc��io�—ate <br /> C1Si `S V21=57 VOLs (Z-■ <br /> V371 <br /> b w, 's �- <br /> Qe� <br /> JE XIA MJPJ �JEJ 111273 <br /> 42408 <br /> White Copy:CIW MB Yellow Copy:Operator Pink Copy:LEA �di <br />