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_ Waste Tire S ey & Inspection Re SURVEY REQUIRED <br /> ■•■+■■ Stateof California <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Report I - <br /> Site Suffix: - - i <br /> Number: " - - <br /> Inspection Number on the associated Survey form(Page- <br /> 1)_ <br /> Comments <br /> �afi�74JE-�'r <br /> AMIPI EI T 1 ( 2131 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />