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Waste Tire ve Inspection Re L!6L�RVEY REQUIRED <br /> t=- Y � —09'::= State of California <br /> Comments Form <br /> CIWMB183 (New 04104) <br /> California Integrated Waste Management Board _ BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- <br /> �1 Inspection <br /> _ <br /> j � � /f � ' = � 7 <br /> Site Suffix: Report`/ '( C— <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> VA-5 ea� � rt 672- <br /> Li <br /> � 42408 <br /> JE }( A M R L11 ' 273 f <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />