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Waste Tire S vey & Inspection Rei -t 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 /> Inspection <br /> TPISite L.j ` Report = 5 <br /> SSuffix: <br /> Site - l `� ( Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 71'{ C <br /> LV - �-- - <br /> „- Jcjfs w+ts-, toe- Ve. - � <br /> C�- j <br /> 42408 <br /> ■ White Copy.CIWMB Yellow Copy:Operator Pink Copy:LEA <br />