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I. Waste Tire E vey & Inspection Rei t SURVEY REQUIRED <br /> Stat a <br /> CIWMB183 (New04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> - I _ o Inspection <br /> Site — <br /> Sife Suffix: 3 Report <br /> Number: <br /> inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Ot r iMA 61+ <br /> f t,Ji amu) - - <br /> EXAhl4P' <br /> E I 111273 42408 <br /> ■ White Copy.CIWMB Yellow Copy:Operator Pink Copy:LEA <br />