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=Waste Tire S4Fey & Inspection Rept SURVEY REQUIRED <br /> •••'-•• <br /> State ofCalifornia <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- 1 Inspection <br /> G <br /> Site Suffix: 1 2 O { Z l Report I — l j 7 7 5 g 7 <br /> Number: <br /> Inspection/dumber on the associated Survey form(Page 1) <br /> Comments <br /> s42 C2 cmc \kAT kks-, cxj4EN 1r1 Civ l <br /> C ---- - <br /> le <br /> 42408 <br /> A PIS il ? 3 1 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />