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Waste Tire ve & Ins ection Re A-- SURVEY REQUIRED <br /> •::��• State of California I_ <br /> CIWMB 183 (New 04/04) <br /> Comments Form - - - <br /> — <br /> CalifornialntegratedWasteManagementBoard BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> - d ® m ® Inspection <br /> Site U U _ o <br /> Site Suffix: Report = 01 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> t�1c�lre 1. 6. �taCI►�� rS CA ANS if`f16S�1AA i mile�'. <br /> kw (-a") - <br /> A MIPI �Jej It 1273 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA ® ■ <br />