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Waste Tire 1 fey & Inspection F SURVEY REQUIRED <br /> •::'__ State of California <br /> ka ---- <br /> CIWMB183 (Now 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: _I U/ Report <br /> 1 Number: I <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> CRik C/7 ✓L a C� <br /> Ika <br /> 42408 <br /> IEXIAMIPILIEIT 2- - f <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA ® ■ <br />