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Waste of Tire ` rvey & Inspection Re art <br /> ASURVEY REQUIRED <br /> CIWMB183 (New04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN _ <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: I C C Report <br /> Number: -�- <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> n s anc) al rr��x. i,L l CA, <br /> &,Jc... —rye, ��-- <br /> ��a,5 6-A <br /> : 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />