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Waste Tire lrvey & Inspection RE art SURVEY REQUIRED ■ <br /> ■ 'isiS Stateof California <br /> •��� CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> easiness Profile Inspection Details <br /> ii �--++ inspection �j j <br /> PID 4 V ,,ee**��,, Report I — `� �L <br /> Site Suffix: � � � V Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> �U 6"r- l - <br /> tZt,GG <br /> X0-8 CMIAC P11-1- S�TJYL <br /> lr$ a yr- M101r <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />