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Waste Tire SL ley & Inspection Rept 1 SURVEY REQUIRED ' <br /> e'■rte State of California ----- — <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Inspection <br /> Site Suffix: 1 �j 7 9 IA 7 Report = ' — ` 6 7 Q 1 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Ilk <br /> r . <br /> %6c �%A \-x� 23 w�o_•c•` ,c��S wet <br /> sd!k <br /> 42408 <br /> JE XIA MIPILIel 1112131 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />