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Waste Tire .s_,rvey & Inspection F art SURVEY REQUIRED <br /> ' - _ <br /> State <br /> ClWM fCalif(New Comments Form - -- <br /> CIWMB 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- j Inspection <br /> O1 U I © I Report I - 1 1 4 `1 <br /> Site Suffix: 3 5Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 4.0 <br /> ���,�eI b .P c"v��k on a13Un <br /> _ 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />