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Waste Tire J'h_ ✓ey & Inspection R 'LSURVEY REQUIRED <br /> State of California <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> a <br /> inspection Rep = _ A d <br /> TPID- r.J 'I Report '1 _` <br /> Site Suffix: Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> �-j e <br /> So X <br /> (AAkEw 61',r &n tk k <br /> > > r <br /> I T <br /> - - - titg <br /> pl.. U �1 n 1 l u. 1 S <br /> ���I11L1 <br /> 1 f <br /> �,�/Get a • <br /> �E 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />