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= Waste Tire Vvey & Inspection Re; �t SURVEY REQUIRED <br /> W•",! State of California _ I <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> - 1 /� e _ Q Inspection <br /> Site _ <br /> Site Suffix: , LJ � `� Report I 1 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ' 'n_ c,Lr- flu <br /> 1 � i <br /> + 'I,%C 0 <br /> 3, N10 JAR.4cj <br /> 3 -� 4(AZ'l <br /> i vy� <br /> r P I_ E 1 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />