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Waste Tire SL /ey & Inspection Rept SURVEY REQUIRED <br /> ••••�• StateofCalifornia <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- Inspection <br /> Site Suffix: 1 ? 8 3 0 ' s 0 1 Report I — ` 2 y 2 y © Z <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> � . Zany <br /> ves p 0cc <br /> IE A 113 42408 <br /> Q:W:hie:C�—C�WMB Yellow Copy:Operator Pink Copy:LEA <br />