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Waste Tire S�rey & Inspection Rept 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 /> TPID- Inspection <br /> Site Suffix: 3 —7 L' 3 Report <br /> Number: 1 <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Aot CID <br /> -e —ave,, t '� c 41sT <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />