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Waste Tire SL_ 4ey & Inspection Repet SURVEYREQUIRED <br /> ■ _ State of California _� ■ <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> - I e Inspection <br /> Site _ n n <br /> Site Suffix: ` Report = (-'f J• � � }V( <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> l� I <br /> 41u�1�r - <br /> Uri+ r�vui <br /> ejj e'53 <br /> s� <br /> 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />