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f Waste Tire S� ,,ey & Inspection Rep SURVEY REQUIRE[) <br /> LaState of California <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection I — <br /> TPID- � � I � S e Report ort <br /> Site Suffix: O Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> p lih "-Z, �� 'Ca .n <br /> S s - <br /> 3., rC LA,,- + S _ l r�nd1 M& i+6,C <br /> tk I,L toj 3I 4A <br /> b , �J 1A.0A <br /> s- <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />