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_ Waste Tire SOVey & Inspection Rept SURVEY REQUIRED <br /> WoSt ate of California <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Rusiness Profile Inspection Details <br /> ID- Inspection <br /> site Suffix: ' -7 3 Z ` Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> �JS� 1v ��,5 •,���-r �5_C�—cam � �` �. C*s��c�e�, <br /> �.�.t�>�__���5 �•�s,fie..� ''C�� '���_ �oe.S <br /> JE <br /> A P i L e I 1 I 3 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />