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ias Waste Tire . vey & Inspection Re, rtState SURVEY REQUIRED <br /> ■ :::E� <br /> CIWM fCallf(New Comments Form <br /> CIWMB 183 (New 04104) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: l t./ l l D Report I — �( 3 ^7 /'y <br /> Number: 1 O� CJ <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments _ <br /> Fn il►t �n r.S G <br /> Q n Vlb1ci- -Zfms bnc n C�t�errts <br /> ME) <br /> AO-C <br /> k �7170s <br /> —rum 5 ✓l .�' -i�n� �� L i <br /> .� -f- sv _-(-o1z,� l c��- �,2 �1 eco <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />