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Waste Tire SL iey & Inspection Rep SURVEY REQUIRED <br /> ■••''• State of California <br /> `- CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection <br /> TPID- p Report <br /> Site Suffix: (7 2 '� 3 O 0 Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> uuklA e, 1n!> hI _ J�r✓y� ccs a n �VL�3 c���7 C- �, rt c� <br /> �- <br /> Zav>�h 70 <br /> 42408 <br /> JE A MIP[LIEI 111 2fl3 <br /> t � <br /> White Copy:CIWMB Yellow Copy.Operator Pink Copy:LEA <br />