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Waste Tire S +trey & Inspection Rei . t SURVEY REQUIRED <br /> •_:'� State of California <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> - q _ ® O Inspection <br /> Site 3 Report — <br /> 4 � s <br /> Site Suffix: Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 11--� ' <br /> a. (A rOWv) _ e/' Alo!A f�� <br /> ` <br /> I A j C m n <br /> Ql <br /> 42408 <br /> IEXIAMIPILIEI 1112n3 ■ <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />