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Wastea Tire S ✓ey & Inspection Rer t SURVEY REQUIRED <br /> iforni <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID• t _ Inspection <br /> Site Suffix: (n f� Report I l•� <br /> "' ® lJJ Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ccs urnu�u �(� 0.Tc, �C- <br /> (A <br /> t <br /> ■ <br /> JE _- 42408�' �' A dV4 F tr E I 1112131 � ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />