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Waste Tire SL ey & Inspection Rep( 4 SURVEY REQUIRED <br /> ■••'�_ State of California -- <br /> - <br /> rzi <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspec <br /> tion <br /> Repor = _ <br /> TPID- � 2 C \ Q e Re ort Q <br /> Site Suffix: / � � J 4 l� � V Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ccx V" <br /> W eco <br /> 5• �a-Ci L.� 6 r\ <br /> cdv- JE- XIAMI_PILIEI 11 a73 <br /> 42408 <br /> White Copy.CIWMB Yellow Copy:Operator Pink Copy:LEA <br />