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_ Waste Tire ftey & inspection Rett SURVEY REQUIRED ■ <br /> ■ r■i+x■ State of California L._ ---- <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile inspection Details <br /> (� Inspection �1 <br /> Li <br /> TPID- 1 tr1 �l Report I C® <br /> Site Suffix: V Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments - — - <br /> l <br /> Ut) <br /> uCk, <br /> ' !� ' <br /> Cr <br /> All �n - <br /> 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />