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=� <br /> Waste Tire 4vey & Inspection Re[ 't <br /> SURVEY REQUIRED <br /> State ofLIU' Comments Form <br /> CWMB1 <br /> IWMB 183 (New 04104) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Site - / U / Inspection <br /> Site Suffix: Report I <br /> Number: !!! <br /> Inspection Number on the associated Survey for (Page 1) <br /> Comments <br /> — — Are. <br /> ��, _ � ��' ��'✓� C� ami <br /> — - 42408 <br /> WhiteCo :CIWMB Yellow Copy:operator Pink Copy:LEA <br />