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::.Waste Tire S1vey & Inspection ReK t SURVEY REQUIRED <br /> State <br /> WMB1alif(New Comments Form <br /> CIWMB 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Number:Inspection _ <br /> Site Suffix: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> .a .....,- , ��-�% f c�{ � � f✓I fCl -- j� r 't�i rr / ✓ r: _ �C .G, <br /> ki CA 6 Ole( <br /> rq <br /> hal <br /> AHD <br /> JE XIA MIPILIE1 11273 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA r� 1 <br />