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.,qWaste Tire vel & Inspection Re .t SURVEY REQUIRE <br /> •"••� Stateof California �--- <br /> CIWMB183 (New04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- <br /> Inspection <br /> Report 1 — -1 & <br /> � q U � 75 <br /> 1 <br /> Site Suffix: Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 6-11 A CnWte 6L <br /> n <br /> "&t <br /> ij n J, <br /> Ck� �n <br /> ' s 61 <br /> �- <br /> jEXj <br /> s' <br /> A M j � 1 2 ] 42408 <br /> O <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />