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'r ;I=Waste Tire S /ey & Inspection Rer t SURVEY REQUIRED, <br /> ' State of California <br /> CIWMB183 (New04/04) Comments Form <br /> Callfomia Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- -7 Inspection <br /> Site Suffix: ( - � 1 Report I i - 1 z Z 2 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Gec - <br /> 3� - -_ co vim- �e-e-� o, - <br /> o <br /> .W o`S ����•` e1,�.e. � C'e�:-est <br /> >,, ye�• - <br /> 4^2408 <br /> IEXIAMIPILIEI 11 - a <br /> White Copy:CIWMB Yellow Copy.Operator Pink Copy:LEA <br />