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AWastea Tire SWey & Inspection Ret I SURVEY REQUIRED <br /> State of Californi <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: I 8 Report I , — 1 2 3 O 6 5 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> C' 7f l`l 4-c, <br /> VIL <br /> r4,A As <br /> rel <br /> c tCLn A, �o s. <br /> Ib c lxxl oar <br /> 42408 <br /> E }t Ah14 PI LJEJ 111213] <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />