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0Wasitea Tire Sevey & Inspection Re*t SURVEY REQUIRED <br /> ---- <br /> CIWMB183 (New04/04) Comments Form ----- <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: U 1 - p Report I - � 3 <br /> _l V 1 Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> i fie, rn <br /> f t <br /> I <br /> civ 011 A , �e 114 <br /> ko r LV i f—\ <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br /> � � <br />