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"gWaste Tire S�.. ✓ey & Inspection Rep, SURVEY REQUIRED <br /> ■ "• ' ■ <br /> iii3.I. State of California ---- -- --- - - - <br /> CIWMB 183 (New 04/04) Comments D=orm <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> //`-� 0 Inspection /f / <br /> TPID- (O C� + Report 12 � <br /> I – f0 C� <br /> Site Suffix: ✓✓✓ l Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments - <br /> C/YLI� <br /> rgvymc - it <br /> 62-l- <br /> An Cli �� K.- - G <br /> EXAMPLE— � 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />