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:Waste Tire S. vey & Inspection Rei t SURVEY REQUIRED <br /> �•••'•• State of California <br /> -� Comments Form <br /> CIWMB 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> -- <br /> Business Profile Inspection Details <br /> — _ _ <br /> Number: <br /> TPID- a � <br /> inspection <br /> Site Suffix: 0 Report 7 <br /> ` 1 <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> • ,� r h <br /> 17.) <br /> C� 0�ac.wqz- f, Civ��vJ • - - <br /> yvia <br /> 1EXIAMIPME1 1112131 <br /> 42408 <br /> White Copy.CIWMB Yellow Copy:Operator Pink Copy:LEA <br />