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_Waste Tire SL Bey & Inspection Rep t [_suRVEY_RE uiREDI <br /> ■■■'y State 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 /> J Q / �j Inspection �] <br /> Site Suffix: 6 ` <br /> TPID- ! U t[ ( Report I — p� 6 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments ---— <br /> 5 <br /> 0560" <br /> Q 4 <br /> 42408 <br /> ■ White Copy.CIWMB Yellow Copy:operator Pink Copy:LEA <br />