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=: Waste Tire ^y & Inspection Reu SURVEY REQUIRED <br /> ■ "L_ State of California — ! <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> C� InspectionTPI (n G <br /> Site - ` C7 Report <br /> Site <br /> Suffix: Number: <br /> Inspection Number on the associated Survey form(Page 9) <br /> Comments <br /> �t j CL5 S <br /> _ u ��� <br /> rA�a� _�� <br /> JE MJPJLJEJ <br /> 42408 <br /> T 2 3 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />