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;:;Waste Tire S rey & Inspection Rept SURVEY REQUIRE <br /> "i3_3y■ State of California — <br /> CIWMB 183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Z s d Inspection _ Z 7 7 <br /> Report I <br /> Site Suffix: �j ,5 <br /> J Number. 1 <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> k Ile <br /> r <br /> % <br /> Q ��SI f OC IiS. <br /> r <br /> 42408 <br /> White Copy.CIWMB Yellow Copy:Operator Pink Copy:LEA ■ - <br />