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k <br /> : pWaste Tire SL Bey & Inspection RetREQUIRED <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 /> TPID- <br /> - -0 <br /> _® Report Inspection - 1 <br /> I <br /> Site Suffix: Q <br /> S � v � Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> QC <br /> JE <br /> `'cel once, •� .M�Co•� <br /> 42408 � <br /> A X123 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />