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Wastea <br /> ,iTire ey & inspection Re 't <br /> SURVEY REQUIRED <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: 3 2- d t Report I - () CJ 2- <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> OV\, vt L L <br /> tit <br /> w� --.-- - <br /> - - _ 42408 <br /> EXA MPLE:, I I23 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA F: 4fl <br />