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WasteState fa Tire S vey & Inspection Rer I uRVEY REQUIRED <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- inspection G VT <br /> Site Suffix: ! �j 7 .5 u Z I 0 Q Report I 1 — 2 1 / 7 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ynrcZy� <br /> .�a-� - fit-.c� C' v�0'��0�5 ,rte <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />