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_.RWastea Tire ey 8c Inspection Re t SURVEY REQUIRED! <br />CIWMB183 (New 04104) Comments Form <br />�� California Integrated Waste Management Board BLUE OR BLACK INK PEN <br />Business Profile Inspection Details <br />TPID - Inspection <br />Site Suffix: � � � 't `ti, � - ` Report <br />Number: <br />Inspection Number on the associated Survey form (Page 1) <br />Comments <br />A- <br />a r <br />— ' C.— <br />i t <br />ct <br />1 <br />42408 <br />I <br />White Copy: CIWMB Yellow Copy: Operator Pink Copy: LEA <br />