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. Waste Tire rvey & Inspecti®n Fie )rt SURVEY REQUIRED ■ <br /> „III State of California �+ F^ - <br /> CIWMB 183 (New04/04) Comments ■ orm <br /> Callfomia Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> '•tsiness Profile Inspection Details <br /> SID- Inspection I <br /> Report _ 413 ,5 <br /> Site Suffix: I �-� Z - I ./11. <br /> � � Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments _ <br /> 7' 4fyz?s <br /> All +rre Ser <br /> �y► �w�n� - � r361 ond cr Ar .�r� c,�-I' hit°S <br /> 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />