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k <br /> Waste Tire SL iey & Inspection Rept SURVEY REQUIRED <br /> ••!'! StateofCalifornia <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board _ BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- 6 ,7 - Inspection <br /> Site Suffix: Report <br /> © Number: I <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ? 1 us er ax-c ,� <br /> ILA V5 <br /> y LA Lwt <br /> QC_vw� rte_ <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />