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'"- Waste Tire Sfrey & Inspection Re <br /> Sate of California t SURVEY REQUIRED <br /> ■■__V! {yam i ---. <br /> �.. CtIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board _ BLUE OR BLACK_ INK_ PEN <br /> -- - <br /> Business Profile Inspection Details <br /> TPID- - Inspection -Site Suffix: { 1 Report I <br /> t. 1 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Y- <br /> ,Y <br /> i <br /> ■ E m p d -1-1-- R 3 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA t <br />