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_Waste Tire S, grey & Inspection Rep t SURVEY REQUIRED] <br /> •'!:U! State of California <br /> C - <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 <br /> Site Suffix: Report I 15 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Qext r <br /> -2.) 0 vyk, rf�Ac,(oS4 TIN <br /> r T v\ <br /> IEXIAMIPILIEI T i i ---I <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />