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Waste Tire SOrey & Inspection Repl*tli <br /> SURVEY REQUIRED) <br /> L <br /> 'L• State of California�- Comments Form <br /> f�i CIWMB 183 (New 04104) _- --- <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- 1 _ O Inspection _ <br /> Site Suffix: Report I �1 F� /� 2 <br /> Number: .L v ..J. J <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 1 <br /> cS • - T W U, v b/' <br /> cam. zv) -o N PW-)! da �foz- " tx-� <br /> V T <br /> IEXIAMIPILIEI 1112T3 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />