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:Waste Tire EWey & Inspection Re�. .,t SURVEY REQUIRED ■ <br /> �:!•=! stateof California <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> _ Inspection <br /> Site eSuffix: \ �^ Report <br /> Number: 1 b <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> V,e,V -(.w ,t, U, C`,c, t S w t K't' Lt> <br /> r <br /> 42408 <br /> JE XIAMIPILIEI 1112n3 <br /> e <br /> White Copy.CIWMB Yellow Copy:Operator Pink Copy:LEA <br />