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i <br /> Waste Tireftwey & Inspection Rftrt SURVEY REQUIRED <br /> State of California <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- II II ff ' ) Inspection <br /> Site Suffix: Report = <br /> il Number: J► <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 1�1 <br /> -IC 'I i s ;n I �1•- �� c,�ss �1f r� v <br /> OA:tjj4i n so( Lok (A g5J-YP <br /> D. \,-n i A C- ow,41tf Wit S I n <br /> -- <br /> r <br /> IEXA �hPLJE1 23 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />