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W aste Tire SL-jvey & Inspection Rep... t -SURVEY REQUIRED <br /> State of California Comments Form <br /> CIWMB 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: f 2 c1 S v <br /> Report2- .7 Z- 0 <br /> NuMber: Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> lVi6eit if-kf- 7- 44C44--, AQ <br /> —;2 <br /> AP <br /> IEXIAMIPILIEI 1112131 42408 <br /> ■ White Copy:ClWMB Yellow Copy:Operator Pink Copy:LEA ■ <br />