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LU <br /> of California <br /> LUWaste Tire S,-. vey & Inspection Rep t SURVEY REQUIRED <br /> ■ CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> I Inspection <br /> TPID- l � I Report I <br /> Site Suffix: 1 l ( Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Li <br /> - — — �S � Ali c� • _ -— — <br /> n <br /> s Q <br /> ") <br /> ��SL Y�(Ia.,tIr� <br /> 42408 <br /> FEX A MIP L E 1 C 3 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />