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■ <br /> ka <br /> Waste Tire Ivey & Inspection Root [SURVEY REQUIRED 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- inspection <br /> Site Suffix: l! �f Z �/� I Report = ' — 1 y y -5 Z <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> � /af <br /> u <br /> -1 YM itiu k� <br /> CL t � <br /> 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />