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::__ Waste Tire Soey & Inspection Rept SURVEY REQUIRED <br /> State•••�• nia <br /> CIWMOf183((New <br /> 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- Inspection 1 L e <br /> Site Suffix: <br /> 1 ` ! 2 b 1 Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ?•�O�S� `� ���� CSC �Ca..�. �,,.__pb� �� � ��e:C� <br /> res- U_- \2V <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />