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WasteSate of s Tire y & Inspection Re SURVEY REQUIRED <br /> ■ ■ <br /> CIWMB183 (New 04/04) 'omments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK P E N <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: Q / Report I ! — j 0 6 0 3 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> n)a.es r <br /> i •) kfl)'s 4wd <br /> -If Zcux G�/lrO r� lAlr --` yr r�s� cum/ <br /> 42408 <br /> JE XIA MIPILIE1 11127F31 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />