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Waste Tire S, ey & Inspection Reps SURVEY REQUIRED <br /> ••'L•• State of California i <br /> - Comments Form <br /> CIVJfdB 183 (New 04!04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments — <br /> i <br /> 42408 <br /> ■ E: 7CAMP LE=1 F123 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />