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Waste Tire S e & Inspection Refort ° <br /> Y p SURVEY REQUIRED <br /> ■r■ui State of California <br /> CIWMB183 (New04/O4) CAmIments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> ' I Inspection I w <br /> Site Suffix: 1 ID- I V 3 3J LJ I Report I I "' I —Q g�NOT � <br /> Number: II �� II <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> VtnCA <br /> - <br /> � J <br /> j1E <br /> �e <br /> I X A jM P I Z 3 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA Lei <br />