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Waste Tire SL ey & Inspection Repok SURVEY REQUIRED <br /> •i!: U: State of California <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN ll <br /> Business Profile Inspection Details <br /> TPID- I Inspection _ 9 <br /> �( Report <br /> Site Suffix: Number: I <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Fa fA IMfv S <br /> LS Nxt.,.--m- <br /> u <br /> r� 1�,4 s S e.e <br /> J - '( %) refjW� A XLA ) 'I IA 1.)ILIE1 111273 1� �+ <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />