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... , Waste Tire S. . -ley p& Inspection RPM^ t <br /> SURVEY REQUIRED <br /> State of California m m pm <br /> CIWMB 183 (New 04/04) .,omments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile _Inspection Details <br /> I TPID- _ Inspection <br /> Site Suffix: Report <br /> t Number: ` <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments - - --- -- ------ - - <br /> A/ lc�-f�Z ,S car <br /> -- - )Ice 1 car <br /> - uylc�e fS Y�-A s, e i1�1' •�'nC°� <br /> 42408 <br /> IEIXIAIMIPILIEI 111251 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA JJ t <br />