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Wastea Tire ey & Inspection Relort suRVEY REQUIRED '' <br /> State of CIWMB183 (New 04104) Comments Form <br /> CalifomiaIntegrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- p Inspection ^7 <br /> -L �J j Report I - l <br /> Site Suffix: ° Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> AAA e.� 19,e` fyl L cz►76 k{r ~ rj 4:2& <br /> CP-I ,-;,o <br /> 42408 <br /> White Cop- `NMB Yellow Copy:Operator Pink Co EA <br />