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; Waste Tire v �/ey InspeCtl®n F�e�rt SURVEY REQUIRED j <br /> U■fft.•! State of California <br /> •• CIWMB183 (New 04104) Comments Form <br /> Califonnia Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> l Inspection <br /> SPeDSuffix: 1 L� Z �'_' _ O i Report I 1 — z �. <br /> �1 / Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> NCJ�. <br /> A464A <br /> hd ba <br /> C4-7 c a kt� r Y v 1 Slc <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />