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X43; Waste Tire S ley & Inspection Rer 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 /> - _ o Inspection 2 - 1 ' ^ ' <br /> Site Suffix: <br /> Site Z Report ort <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> - <br /> � � a . <br /> rk <br /> �eceiPk�_5 o�Sti c Y2.5&S5e <br /> 42408 <br /> JE A MIPI E' 1 Z131 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />