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Waste Tire S' ,ey & Inspection Rer 't os SUiR�/EY REQUIRED <br /> "•_' State of California___ CIWMB183 (New 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: 1 Report <br /> Number: 0 <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Ma6e4s m,4 c �j% D—t'V <br /> -ii5N Ut�-Jlk,-A<- ej Q �' <br /> jEjXjAjMjPjLjEj 111273 42408-, <br /> White Copy. WM Yellow Copy.Operator Pink Copy.LEA <br /> � � <br />