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Y p, Waste Tire S, re & Inspection Repot <br /> SURVEY REQUIRED <br /> State of California <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- 1 _ Inspection _ <br /> Site Suffix: l 6 Z 3 3 O Report = ` 2 1 �j 2- <br /> Number: <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 1i <br /> Gtr r <br /> 2� A)(S <br /> kC) zs rAll 1A <br /> 4-1 <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br /> '1 <br />