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Waste Tire dL fey Inspection F _, � <br /> "' Y I, SURVEY REQUIRED ■ <br /> •••"'! State of 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 /> Site Suffix: � � 0 <br /> Report <br /> O <br /> Number: l <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> CAL710 el cu,c,ca ck. <br /> �,qbn o4 <br /> ���AVPA41,,Ak <br /> 'I ajt.. pvwcl �Os- <br /> N�h <br /> leXIAMIPILIEI JiJ251 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA ® ■ <br />