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® `e-,, Was,tea Tire E&ey & Inspection Re; t SURVEY REQUIRED <br /> CIWMB183 (NewO4/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK P E N <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> I <br /> Site Suffix: Report Number: / 7 �� <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 1 E i rr A I p LIE i l 1 C L I'' 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />