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=".Waste Tire irvey & Inspection Replet ku <br /> ' � SURVEY REQUIRED <br /> 3i_ State of California <br /> CIWM6183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> - c) _ Inspection <br /> Site _ h <br /> Site Suffix: j� � � ® 1 Report = 2 V <br /> v Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> r)D <br /> 1 � <br /> AfTW51% <br /> t 1. -� <br /> CUCnD 7 <br /> s , <br /> -- - -- <br /> E2 Y AMI tia 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />