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T - Waste Tire ey & Inspection Rept SURVEY REQUIRED <br /> State..__. CJWM (New fCallfo"mments Form <br /> IWMB 183 (New 04/04) <br /> California Integrated Waste Management Board _ BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> r ) Inspection <br /> TPID- r/ - f Report I - <br /> Number: <br /> Site Suffix: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 42408 <br /> JE XIA MIPI LJEJ I Y I <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />