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AWaste Tire S Vey & Inspection Rer rt SURVEY REQUIRED <br />... <br />•••' •• State of California <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 - InspectionReport <br />_ /% / Q <br />Site Suffix: <br />1 v Number: .1_ .L 7 CJ U <br />Inspection Number on the associated Survey form (Page 1) <br />Comments <br />42408 <br />�}f�tNtP L.Et �3 � <br />e <br />■ White Copy. CIWMB Yellow Copy. Operator Pink Copy: LEA <br />