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::__ Waste Tire irvey & Inspection R( art SURVEY REQUIRED] <br /> ••'�: State of California <br /> CIWM8183 ( 14/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- / Inspection <br /> Report J I 4 <br /> 32Site Suffix: J <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> IWWJ �. <br /> 42408 <br /> White Copy:CIWMB Yellow Copy.Operator Pink Copy:LEA <br />