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.; Waste Tire SL :y & Inspection Rep SURVEY REQUIRED <br /> •i3'�+! State of California <br /> COMB 183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> - I 1 , - © 1 Inspection <br /> Site _ ' <br /> ", 1 I <br /> Site Suffix: Report 7Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> r <br /> 0— A:.CaICt - <br /> �ry 42408 <br /> E^ f� rel 6 tr � 111273 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />