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::Waste Tire St ;ey & Inspection Rep& SURVEY REQUIRED <br /> Wo State of California <br /> Wo -- - - <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> L - Report = 2 - 2 6 <br /> Site Suffix: <br /> I � 1 � ( � � � � Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ccynmc#/L� Do C, 0000 <br /> le y� i ry �y 42408 <br /> ' r <br /> White Copy.CIWMB Yellow Copy:Operator Pink Copy:LEA <br />