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Was- Waste Tire Sftey & Inspection Re[ SURVEY REQUIRED <br /> California State of 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: 1 3 Report I — / �1 (� -70 <br /> Number: / <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> A1. er - <br /> r�►n�vr,� <br /> 7 t t <br /> - - - - -- - - <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />