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.AWaste Tire Survey & Inspection Repot SURVEY REQUIRED <br /> LaState of California <br /> CIWMB 183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUEORBLACK INK PEN <br /> Business Profile Inspection Details <br /> inspection <br /> TPID- Report z q <br /> Site Suffix: Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Cox" <br /> k�S <br /> woe <br /> -ow-�'AL*- <br /> 'y <br /> 1\-0 <br /> % I(\ 0 <br /> Y - e- <br /> 10 <br /> 42408 <br /> J' M[P <br /> White Copy:ClWMB Yellow Copy:Operator Pink Copy:LEA <br />