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Waste Tire S ,rey & Inspection Rei t SURVEY REQUIRED <br /> • State of California <br /> • •pi CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> 2 Inspection <br /> TPID- <br /> Site Suffix: J 2— Lt Number: l <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments - <br /> Al4ur.,n <br /> g 1 �kc.d _Grc�I e�rCc � s i-1a. _� fi" fkr il�y�' <br /> � 1 h <br /> C6.Coo rzft-o <br /> Ctf <br /> 1��� 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />