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AWaste Tire f rey & Inspection Reoft SURVEY REQUIRED 1 <br /> .' r■■;_: St ate of California <br /> CIWMB 183 (New 04/04) <br /> Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile11 Inspection Details, - <br /> - <br /> TPID- Inspection <br /> Site Suffix: �� -% �, `- -,, / Report <br /> ' Number: - <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> t is <br /> fn �_ <br /> -fin. <br /> t`-- ;�4•� —/1 1, <br /> O r 4 YI `f 5 <br /> ' ' < <br /> _ Z— min <br /> 42408 <br /> ■ AM e 7Z]3] <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />