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-.; Wastea Tire Su*ey & Inspection Rep SURVEY REQUIRED <br /> State of CaliforniCIWMB 183 (New 04/04) n Form <br /> Co1'11 rr�e is <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- 10 1 Inspection I 5 3 <br /> Site Suffix: -6 Report I <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ox e- <br /> � <br /> T � C-c��C-i-�-i�o� ' �i�� Gam) •� ��-2— -�of <br /> - <br /> ��� <br /> 1EXIAMIPILIE1 111273 <br /> 42408 <br /> rJ 1 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />