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Waste Tire SjVvey & Inspection Relyrt SURVEY REQUIRED <br /> t5ys' State of California .. .. _. _ <br /> CIWMB183 (New 04/04) omments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK P E N <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: - Report I — <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments - -- - -- - <br /> pec�� irle(AY)ve-A -Ac <br /> Eve �&�Jer- lwcuzs�e_ ne ne,irt� <br /> � \\ <br /> Num <br /> �- <br /> r_ <br /> cc�,I.ck�-j 4-ur oua <br /> - CA, � ri <br /> jEj.XjAjM�jEj 111 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />