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® ... .;Waste Tire SL*ey & Inspection Rept SURVEY REQUIRED <br /> + ®aa.,d'•,.a St ate of California <br /> �`.-"�� 2 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: - Report - <br /> Number: <br /> - _ - - <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> • <br /> r .. °^ <br /> 1, <br /> l \J <br /> y <br /> ' ! U I � /� ��•ti ..•r � ! <br /> -- \ — <br /> i <br /> v <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />