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®rt SURVEY REQUIRED <br /> _ Waste fire -irvey & Inspection R' 1 <br /> State of California <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection <br /> TPID- _ <br /> ` r Report I 4 6 <br /> Site Suffix: � � � � � �� � ( Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> - <br /> i <br /> Off <br /> _ <br /> z P e:A 9.530 <br /> yr- <br /> 42408 <br /> E XA11 23 � ■ <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />