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:Waste Tire Sp---fey & Inspection Relet <br /> SURVEY REQUIRED <br /> State of California Gumments Form <br /> CIWMB 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- ( , _ O Inspection <br /> Site Suffix: 1 � Report I — I Z 5 5 7 4 a <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> %A S 5-6-3:,ce C\�� <br /> 14 <br /> q%-_vim oaSa.� <br /> ave\y <br /> JE }CIA MIPILIE1 111273 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />