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: Waste Tire S, vey & Inspection Rep I SURVEY REQUIRED <br /> ■!!'_�! Stat B183if(New Comments Form <br /> CIWMB 183 (New 04/04) <br /> Califomia Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: , ( Report I — Z <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> eV D .0 <br /> OAMAU&rlk� 1-0 t- Tv"vn 44L,,,7,ob-Z ku12-('Imo'' <br /> G'�L�v�itw-i �-r� ✓..�/Jn-�-�-�.���.-c. o� 12t=1���iu.�- u-�,. y'.�i2�-�- <br /> AA Q� <br /> 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />