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Waste Tire * mey & Inspection Re t.. SURVEY REQUIRED ', <br /> State of California mCIWMB183 (New04/04) ents Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- f Inspection <br /> Site Suffix: `t I - � Report <br /> _- - Number: u <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> TtiAC EST ni�-,> <br /> 0\ <br /> MI <br /> i <br /> ---rP I El 1 G 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA ■ ■ <br />