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® Waste Tire S ✓ey & Inspection Rep SURVEY REQUIRED <br /> ••••�• State of California -- --- <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> ` Business Profile - Inspection Details <br /> TPIInspection <br /> Site Suffix:- O _ Report I — 1 r q <br /> Site l 3 L)\ Number: l v <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Ct <br /> • w ip� `� 5 I V Y W �__ GIT T _�_tr O1v`- _ L�_D , V6`s--•'_ t .{•,l <br /> .cam <br /> -6,1 <br /> 42408 <br /> ■ E XIA MJPJ LJEJ III23 <br /> i:PT <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />