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jWaste <br /> Tir ey & Inspection -�rt SURVEY REQUIRED <br /> State ofCalifornia omments Form --- - <br /> State 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> -- -t---' <br /> TPID ) _t (—_ Inspection <br /> Site Suffix. ` ) ! I ) Report I <br /> 4 , Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> I Comments <br /> i <br /> 42408 <br /> e XIA MJPIje <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA ® ■ <br /> 1 <br />