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Waste Tire Slvey & Inspection Ret 't SURVEY REQUIRED <br /> ■rrSa■ State of California <br /> -' CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK P E N <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: p Report I <br /> o a 1 Number: <br /> Inspection Number on the associated Survey form(Page 9) <br /> Comments <br /> } <br /> 1 \ t <br /> Noe- <br /> re-011,40A Wt4&ej -A <br /> cur S �1 <br /> 42408 <br /> JE X A Nt P 3 <br /> t � <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />