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:Waste Tire �vey & Inspection R t SURVEY REQUIRED <br /> •■■_+�•_ State of California <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- r , Inspection <br /> Site Suffix: - Report I <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> C L F lO l Qct fCr V!e. { •l J v <br /> j <br /> ' p <br /> I <br /> 1 <br /> 42408 <br /> E XIAM P; L E' 111273 �] <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />