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State of -.._ <br /> a$a. <br /> Waste Tire S vey & Inspection Rei. rt SURVEY REQUIRED <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- I Inspection <br /> LlSite Suffix: Report <br /> 6 v Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> .Comments <br /> 0678-7 <br /> CA <br /> A-1 -- v)e-\ <br /> P - <br /> - �l C � --- <br /> _ 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />