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AWaste Tire S . ✓ey & Inspection Rep A SURVEY REQUIRE <br /> Loss, <br /> !''i! State of California <br /> CIWMB 183 (New 04/04) <br /> Comments Form - - -- <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- l Inspection18 <br /> Site Suffix: - I Report I - <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments _ <br /> -1`o <br /> Colt <br /> Y11T1 <br /> -� 42408 <br /> !CAMF 112731 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />