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:°:.Waste Tire SL ey & Inspection Repdk [SURVEY REQUIRED <br /> iii=: State of California <br /> CIWMB183 (New 04104) Comments Form <br /> Califomla Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPIt 1 _ Inspection <br /> Site _ <br /> Site Suffix: 1 ` Report I t , Z 2 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> rc <br /> tr <br /> CC �V! <br /> ok <br /> 6 <br /> e z <br /> + <br /> Es A M P II a1#1 <br /> 42408 <br /> White Copy.CIWMB Yellow Copy.Operator Pink Copy:LEA <br />