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:_Waste Fore Survey & Inspection RepoSURVEY REQUIRED]!■•"�: State of California <br /> CIWMB 183 (New 04104) Comments Form orI 1m <br /> 1 <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- <br /> Inspection <br /> Site Suffix: C> ` � � � � Report I _ � CO 3 S <br /> Number: .J <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 1` fit. co -Cnll <br /> CAM <br /> A--% oar r� <br /> 42408 <br /> �' }� A �II P L. E111273 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />