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OW <br /> ...,� Wastea Tire ey & Inspection R ! SURVEY REQUIRED] ■ <br /> ■ state of Californi <br /> ---- CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection <br /> TPID- � � � >� � / � _ j� I � Report I L <br /> Site Suffix: 1 (�Yn �f ` Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments - <br /> 1_ I <br /> f Srl14 fa S 1r ( S I <br /> u \j <br /> l� <br /> 3_ y card s — <br /> � <br /> 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator • <br /> - Pink Copy:LEA <br />