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Waste fire S- °e & Inspection Repit <br /> Y p SURVEY REQUIRED <br /> ••OJ State of California <br /> -- CIWMB 183 (New 04104) Comments Fora 1yq� <br /> 1 ---- — <br /> — <br /> CalifornialntegratedWasteManagementBoard BLUE OR BLACK INK PEN <br /> -Business Profile— Inspection-Details - - — - - -- <br /> TPID- Inspection <br /> Inspection - - <br /> Site Suffix: 7 0 7 -2, 6 S - 0 �1 Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 42408 <br /> JE A NI P t j ,3 <br /> e <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />