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:. Waste Tire �.jrvey & Inspection Rew.ort SURVEY REQUIRED <br /> ■ ..._. • <br /> �•"� State of California <br /> a CIWMB183 (New 04104) Comments Form <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 /> f a <br /> 1 <br /> 42408 <br /> ■ White Copy:CIWMB Yellow Copy.Operator Pink Copy:LEA <br />