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SURVEY REQUIRED <br /> _ Waste Tire SL ey & Inspection Rep <br /> •••'�: Stateof California <br /> CIWMB183 (New04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- 1 C Inspection <br /> Site Suffix: 1 5 �j 1 Z d I Report I 4 — l 'J 7 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Ib V <br /> le XIA MIPILIE1 111 42408 <br /> , � <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />