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:Waste Tire SL ey & Inspection Rep SURVEY REQUIRED <br /> "•�r• State of California <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- � � � C� 9 <br /> inspection I _ I 9 <br /> Site Suffix: ` Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Ilk <br /> �� � <br /> - a vv\O%IA. e (� ' yes <br /> Ujo `cam w�atn�' s�.S <br /> c7, i � -CL-% e6' o-a9 <br /> 42408 <br /> JE XIAMIPILIEI 111251 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />