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Waste Tire vey & Inspection Re[ 't SURVEY REQUIRED <br /> ��•� State of California <br /> CIWMB183 (New 04/04) Gomments Form <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? 3 - ReportZ I - L7 <br /> z <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA Pi7i <br />