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■ Waste Tirey & Inspection Rei SURVEY REQUIRED ■ <br /> State of California *0ments <br /> CIWMB183 (New04/04) Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: 7 �t ( Report I - / S <br /> I U C C) d Number: ' I b 3 <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> -9,,,s-4-r tLD- t Vv off e, cr, tv-r i Y' l C) o <br /> �© V x101.*4CIVAc WE CLnfIAc ©F Cv,Ftcaxy� <br /> okss <br /> i 11�1s Wu c V� ca�t <br /> � Es � �T 42408 <br /> � x � r� � l. <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA Lei-, <br />