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Waste Tirevey & Inspection Re t SURVEY REQUIRED <br /> State California *comments Form CIWMB 183 (New 04104) <br /> California Integrated Waste Management Board BLUE OR BLACK INK P E N <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: J / 2— 3 y - U Report 2— <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 077 nY441u f off' AAw <br /> Nz%'ctY�� �'K fy�' L✓4rk ,� <br /> �vl�uP. <br /> IE 7C R MJPJ �Jej 1112131 x'2408' <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />