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Waste a Tire )"u .y & Inspection F X SURVEY REQUIRED <br /> State of E <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: - Report I _ Z <br /> Number: S � � J b <br /> Inspection Number on the associated Survey form(Page.1) <br /> Comments <br /> (�o �5' l 'nuc►�;� G" <br /> 1ki PVe >> s <br /> -CAC- a - _-.- - <br /> T. <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />