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Waste Tire S_ joy & �rbspection Re^ SURVEY REQUIRED] <br /> ��++• State of California <br /> • <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> InsTPID Z - Report I _ <br /> - ort <br /> Site <br /> Site Suffix: <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 13 <br /> �� - ►� a V -35 <br /> + on L <br /> 42408 <br /> IEXIAMIPILIEI 111251 <br /> White Copy.CIWMB Yellow Copy:Operator Pink Copy:LEA <br />