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lWastea Tire Si tey & Inspection Rep 1 SURVEY REQUIRED <br /> CIWMB183 (Now 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 5 ! z C'1 ( Report I I Z S S <br /> 1 Number: � <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 3.1 <br /> �� 5v <br /> JE <br /> A M P i e 111 42408 <br /> White Copy:CfWM6 Yellow Copy:Operator Pink Copy:LEA <br />