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Waste Tire S*vey & Inspection ReK 't SURVEY REQUIRED <br /> •'•'�• Stateof California <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- n Inspection ff ) <br /> Site Suffix: I } 2 ® Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> ri <br /> dvt °� LES .-c-y �� �� s a lctir✓-2, Vk4ji, <br /> L <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA r� 1 <br />