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'6 ---- <br /> r Waste Tire` purvey & Inspection R ,fort SURVEY REQUIRED <br /> -- <br /> •��^—� State of California <br /> CIWMB 183 (New 04104) <br /> Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- _ Inspection p <br /> Site Suffix: �' f Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> -444-o shoo, <br /> i- zi <br /> q-h,P, fi-V <br /> � �'�� cL� YVt.C�.h� �'e.✓ 3 r�-c�'S Ct2nvQ- <br /> vee.+lame G�cR. ►- r,2i.��.c w <br /> 42408 <br /> JE XIAMIPILIEI 111251 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />