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: Wastea <br /> Tire ,L ey & Inspection k_a <br /> SURVEY REQUIRED <br /> State of Californi <br /> •p"MU - <br /> CIWMB183 (Now 04/04) Comments Form <br /> California Integrated Waste Management Board <br /> BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection <br /> TPID- r n <br /> 1 1 Q —1 w O ` Report <br /> Site Suffix: Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> {�oace- � 1,� �► � S �cv 'zrC Q� C � oy d <br /> \S �A`n <br /> ,vs� n� �P 5 .00 ��,�A�•�: <br /> 42408 <br /> JE XIA MJP� �JEJ 1112n3 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy.LEA h` <br />