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' _?_. Waste Tire SL 'ey & Inspection Rep t I SURVEY 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 /> TPID- ' 2 I _ O 1 Inspection ( _ <br /> Site suffix: + Report I <br /> Site <br /> I <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 1'�� �. 'fir cs-c;�,�;.�•.� �,S ��S rs ��w.`C�—.i_�.� ��nc�.� <br /> NS <br /> I. <br /> 3 °Q�erkr � ��,1c�-s ' 'cam �cv�c�x����Ss.��c� <br /> 2 <br /> IE <br /> 42408 <br /> AMIry L- eI 112 r <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />