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-AWaste Waste Tire Oey & Inspection R SURVEY REQUIRED ■ <br /> •'•"� State of California <br /> CIWMB183 (New04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- inspection <br /> Site Suffix: 1 l Report = — � <br /> ` l © l Number: 1 —1 .— <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> LIL), <br /> -T - <br /> � ! 0 <br /> LG N <br /> man <br /> T3� 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />