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I <br /> Waste Tire 1prvey & inspection R , rt SURVEY REQUIRED <br /> -■■■ .w._ State of California <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile: Inspection Details <br /> TPIDj Report I - <br /> �, I Inspection <br /> Site Suffix: , / I I <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments — <br /> Ae <br /> . Z i 41 1..f: ,t�'P g'�..f> %;`�l..c_cP_.s.���I` fJ� J �� }?- •,r L�-,G.f" ,.._,..r :�>.•_�;r <br /> � � 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />