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Waste Tire S*ey & Inspection Rep t SURVEY REQUIRED <br /> ••"'i State of California <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste ManagementBoard BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection / <br /> Report <br /> SiteI <br /> Site Suffix: J <br /> Z, 0 / Number: <br /> Inspection Number on the associated Surve form(Pag 1) <br /> Comments <br /> 2 _ - <br /> 42408 <br /> E XA Idt P (r E<1 1 � 3 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA �4i <br />