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WasteTire SL iey & Inspection Rep t <br /> CaliforniaState of SURVEY REQUIRED <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: ` J 0 - O l Report I t _ f 1 3 <br /> ` Number: D <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments -- <br /> Iry <br /> cfL <br /> Gzi <br /> Ie XIA MIPILIEI 1112131 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />