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' A Waste Tire S- rey & Inspection Rept SURVEY REQUIRED <br /> r=ate• State of California <br /> CIWMB 183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> PID- Inspection <br /> Site Suffix: ` 0 Report <br /> 1 Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> otcs <br /> s ISS _ <br /> 1 ' <br /> s) �O <br /> 13 L4 <br /> 2), a r J <br /> Q <br /> 9- en"rifl, milc, t—ho'l <br /> 42408 <br /> JE A MIPILIE1 J1iZfl3 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />