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Waste Tire Sl i/ey & Inspection Rep t SURVEY REQUIRED, <br /> i• State of California <br /> CIWMB 183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- C <br /> j Inspection q L� <br /> Site Suffix: <br /> J ( 0 I Report I — L S S / / <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 1 l zz I l t 2 l 1 J,S, VAS I v�— ryvt <br /> 2•� a �lJ� T,.✓� ���t.z f <br /> 911cid 'f etnpl Glk(— <br /> o <br /> "71 /LU OtAl <br /> IEXIAMIPILIEI 111273 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />