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AWaste Tire Su, vey & Inspection Reps I !L SURVEY REQUIRED <br /> •!!!.t! State of California <br /> CIWMB183 (New04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection <br /> TPID- Report IL 41 <br /> Site Suffix: Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 4kEl <br /> C2 -1-A.S rrV' <br /> A[u <br /> Le. ne L L!�j <br /> v <br /> OA- 61 <br /> AM Ir-, ;a—"- 64, <br /> 12 4,6 <br /> I N-,%A j <br /> F A WEI 111251 42408 1 <br /> E—x m P E <br /> White Copy:ClWMB Yellow Copy,Operator Pink Copy:LEA LNMA <br />