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Waste Tire S ey & Inspection Rep SURVEY REQUIRED <br /> ••_ • StateOfCalifornia <br /> CIWMComments Form <br /> CIWMB 183 (New 04104) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> G Inspection <br /> Site Suffix: ` 6 "► 2 5 1 b ' Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> -yaws <br /> CL <br /> - <br /> u <br /> d c <br /> l Fac�l,:y.c1001 <br /> s <br /> \`SAL <br /> Q,.S'-Q- e1n5�c � <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />