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- ------ ------- --- ------- <br /> ... SURVEY REQUIRED <br /> ,-A Waste Tire Survey & Inspection RepI, <br /> 02 State fCalifornia <br /> C1WMB 183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile inspection Details <br /> Inspection <br /> TPID- Report I I - I �f 41 3 6 ,5 6 <br /> Site Suffix: Number: inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Mc> <br /> CJ cc <br /> 4 <br /> CtAL <br /> CM, <br /> CM(110,110 <br /> 42408 <br /> XLA <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />