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SURVEY REQUIRED <br /> Waste Tire St iey & Inspection Rep t <br /> viii State of California Comments Form <br /> CIW M6183 (New 04/04) <br /> Calffomia Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection _ 7 6 t <br /> TPID- � Report = � �� <br /> Site Suffix: Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> e I- Ccm ee m S <br /> rj <br /> A - d <br /> �-� i <br /> I LZ <br /> X1)b4, <br /> 4 . \ <br /> C2L CA <br /> 42408 <br /> ■ e <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LFr4 <br />