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�.1g;,ii Waste TireWimmments <br /> ey & Inspection Rjet SURVEY REQUIRE® <br /> State of California C <br /> CIWMB183 (New 04104) Form - <br /> California Integrated Waste Management Board Y _ BLUE OR BLACK INK PEN <br /> Business rrbf le Inspection Details i <br /> -_ - - - <br /> I TPID- Inspection <br /> Site Suffix: - _ Report _ <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> a <br /> -- <br /> f <br /> r <br /> ■ E A I P j e` 111 2[3] .42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />