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Waste Tii _ SGo ,iey & Inspection _apk, b ' <br /> SURVEY REQUIRED <br /> ED'ri�T State 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 /> 1 ( // , 22 Inspection <br /> TPID- Report Z,- <br /> Site Suffix: <br /> / V 'J - ( I i ( <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> i <br /> 1 � i -�-� j I J z 1 r 5--- ,-mss l fR ►�.� t� DDT's <br /> le XIA MIPILIel 111273 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />