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44Wastea Tire Sl iey & Inspection Rep tI SURVEY REQUIRED <br /> CIWMB183 (New04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> `� -7 Inspection U -7 <br /> Site - I i 2 6 / © 1 Report I Z 1 -2 2 / <br /> Site Suffix: Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> le XIAMIPILIEI 111273 <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />