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::Waste Tire S*ey & Inspection Rept SURVEY REQUIRED <br /> •__�! State of California <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 /> Site Suffix: 1 �J Report = I O 1 3 1 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> F % %I -- eXX_1©vim l.b-�1 ,? <br /> ova r v c . <br /> 16 650°1 �e�©rte-e�.r�. ��s `�'°�=� f-.e_. <br /> JE <br /> 42408 <br /> A LIIZ <br /> White Copy:CIWMB Yellow Copy.Operator Pink Copy:LEA FMOT <br />