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' WasteState fCalifomis Tire S*ey & Inspection Rept SURVEY 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 /> I <br /> TPID- ` Ins- Reppection <br /> 1 5 <br /> Site Suffix: Nu ort <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> c Cl ac <br /> 1� s5 <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />