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,:___Waste Tire Suirvey & Inspection Rei. rtSURVEY <br /> R�REQUIREDt <br /> Sate of California - <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- - d Inspection I l vl :2-5 <br /> Site Suffix: t 3 b Report I _ � � Q 1` <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> u5 e l�Jn'% c �e�e1 <br /> �� n <br /> IL <br /> 1 <br /> r <br /> 42408 <br /> JE XIA MJPJ �JEJ 1112n3 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />