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_ Waste Tire vey & Inspection Rer *t �SURVEY REQUIRED] <br /> °i•! State of California <br /> VUZ CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection C� <br /> Ste Suffix: l I L� Z �' j l Report = , — / 5 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Itj <br /> Or <br /> A, <br /> K, 'n <br /> LJ <br /> 42408 <br /> AMIPf1_ E L =` i <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />