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Waste Tir( Survey & Inspection ,port SURVEY REQUIRED <br /> ,■ -.a1i93:ia State of California ■ <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> isiness Profile Inspection Details <br /> PID- Inspection <br /> Site Suffix: InReport � — /� /�} �/ -7 <br /> Number: I _L.. l.0 (. <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> .,f l <br /> be C loJ-e <br /> t <br /> 4c - - - <br /> 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />