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Waste Tire S ey & Inspection Re SURVEY REQUIRED <br /> ® ":::i%■ State of California �_. —_ <br /> ---- Comments Form <br /> CIWMB 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PE <br /> Business Profile _ - - - Inspection Details <br /> - <br /> -- - - - - - - - - - - - - - Inspection <br /> TPID- - i Report <br /> III <br /> Site Suffix: _ Number: <br /> Inspection Number on the associated Survey form(Page 1) � <br /> 'Comments - - <br /> - - I <br /> t <br /> - - <br /> Y,d <br /> ` Z —� <br /> rte- -P-L( - - <br /> - - - 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy.LEA <br />