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Waste <br /> State f California Tire Stey & Inspection Rer SURVEY REQUIRED <br /> oForm CIWMB 183 (New 04104) Comments F o rl 1 m 1 <br /> CalifomlaIntegrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection— — - - - <br /> Site Suffix: I 33 7 <br /> y - / Report I -F Number: yam ' <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> kA4 Cc -T�r c Gteccc-C?ey- <br /> /+Dt_r_f )/ cru may` <br /> too 0 <br /> ar in <br /> FE A Mi P ETTI 2 3 ■2408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />