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Waste Tire SL- ✓ey & Inspection Rep t SURVEY REQUIRED ■ <br /> ■ ... State of California �-------- <br /> CIWMB183 (New 04/04) Comments Form BLUE OR BLACK INK PEN <br /> California Integrated Waste Management Board <br /> siness Profile Inspection Details <br /> - Inspection 44 o a 3 <br /> PID- Report I <br /> Site Suffix: , Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments - - - - <br /> ol <br /> - - - <br /> - ee <br /> 4d7 ,fflA, <br /> min OY ! <br /> men - <br /> L - 42408 — <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator ■ <br /> Pink Copy:LEA <br />