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Waste Tire Sirey & Inspection Rept SURVEY REQUIRED <br /> •'•••! Stateof California <br /> cIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection 1 1 a q Q <br /> O ' Report I 1 Ir 2 l l v <br /> Site Suffix: Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> a 2, G�h�G' <br /> Cz,Sv�� X� 1� � � A M kkse�e� <br /> o� �►fie G,v.�. D.y�c�,�a�\� �_cey;�vS . <br /> rlsxe <br /> oxV <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA LOP-47 <br />