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■ Waste Tireeevey & Inspection F' A I <br /> SURVEY REQUIRR- ED ■ <br /> +: State of California <br /> ••� CIWMB183 (New04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection <br /> TPID- C/ Report Site Suffix: <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> -Lk, 01ag4!44 <br /> 42408 <br /> 'WEI 11125 ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />