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. SURVEY REQUIRED..- .. <br /> U. Waste Tire S ✓ey & Inspection ReK t <br /> W"'�• State of California <br /> CIWMB183 (New 04104) Gumments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: 4 0 f Report I — ! (f Q Q /,� <br /> Number: T T <br /> Inspection Number on the associated Survey form(Page 1) <br /> - — <br /> Comments <br /> 4 r <br /> %s. ✓�c-vua/ vV7 /z.�i,;c,c.cer�, � ,--r-�-_ D7� s,'ft <br /> D c,44 k ,,,, <br /> 42408 <br /> EAMPL 123 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />