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SURVEY REQUIRED M <br /> : Waste Tire S. iey & Inspection Rep <br /> ■■■'`! State of California <br /> _ CIWM8183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection <br /> TPID- _ .� 7 L! <br /> t � O � Report 2 <br /> Site Suffix: "( Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments - <br /> f d � <br /> ul <br /> l%11v �'L� <br /> A/o fir-s o <br /> c /f� —rrsvl, <br /> l'J't' le EF �" `� C A;& <br /> 11 ,,r, 1� n �-f-� � <br /> C', 7 <br /> yt <br /> 42408 <br /> SAMPLE I I ■ <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />