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ka <br /> Wasltea Tire S. Vey & Inspection Rer ,�t SURVEY REQUIRED <br /> te of Cal <br /> CIWMB 183 (New 04/04) Comments Form -- -- <br /> Califomia Integrated Waste Management Board _ BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> - ® 1 Report 0 <br /> Site Suffix: I 1 - 1 <br /> 3 3 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ' CT Uf)-� De <br /> < ,]--, — S e <br /> '0A <br /> Od It <br /> PIA ' i�1nlc <br /> 42408 <br /> le XIA PILE' 123 i <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />