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_ Waste Tire SL ey & Inspection Rep t SURVEY REQUIRED <br /> State CIWM f183 California(New <br /> ?j <br /> Comments Form -- <br /> CIWMB 183 (New 04104) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> s <br /> TPID- _ <br /> Inspection <br /> -t <br /> Site Suffix: J f- C C:" }� Report /r} <br /> / I Jl ) I C'! I Number: I 01 I U 5 } <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 1 e <br /> k ,. l fit <br /> ! c -1 i i C/ ,1 .(Lrl L <br /> -- Aj o I V NQ,w 0 Aj o SII <br /> 42408 <br /> JE XIA MJP� LJEJ 111273 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />