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Waste Tire %,.ffey & Inspection Rep L SURVEY REQUIRED ' <br /> ZS:L_ State of California �_— <br /> CIWMB183 (New 04104) Comments Form <br /> Califomla Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile -- — Inspection Details - <br /> TPID- Inspection <br /> Site Suffix: 3 �j m ( Report = 1 — /� a L a S Q <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 3 <br /> WK4-f-0Jc n06►f,- s c wo ��A�l b1� <br /> 42408 <br /> I IA MIPILI <br /> f <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA 2a <br />