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■ ?Waste Tire c. Ay & Inspection RPS I SURVEY REQUIRED <br /> State of California -- <br /> CIWM6183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection <br /> TPID- ff � l Report I 3 < / <br /> Site Suffix: ' C/ 1 Number: ` <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> =erns � cwt, <br /> --�'4Ct,nil � = <br /> rOj, <br /> k.1 <br /> 2,1 c JE XIAMIPILIEI 11 <br /> _. 42408 <br /> White Copy.CIWMB Yellow Copy:Operator Pink Copy:LEA <br />