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k <br /> a <br /> Waste Tire S vey & Inspection Rer t SURVEY REQUIState of California <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> 2 2 - inspection I 1 <br /> TPID- port 2- <br /> 1 iIn ` g <br /> Site Suffix: 1 J 1 Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> C'. .�ln... <br /> JE A 1 1 3 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />