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;Waste Tire Soey & Inspection Rept SURVEY REQUIRED <br /> ••'�• State of California <br /> • CIWMB183(Now 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PERI <br /> Business Profile Inspection Details <br /> TPID- S ^ ` Inspection <br /> Site Suffix: Report z 9 9 <br /> Number: L <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 3)z ����- �.� � ��• maw�.�- <br /> ci_r�1 <br /> JE XIA MIPILIE1 1112131 111 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA 17AL . <br />