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Waste Tire S ®ey & hispscUon Rer t SURVEY REQUIRED <br /> W•'�! State of California <br /> ill"'1111 CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE-OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- - Inspection <br /> Report <br /> Site Suffix: Number: I "1 <br /> — I- I � 9 0 1 <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> c-F kms_ <br /> Cc <br /> 42408 <br /> JE XI A MIP LEI 1112 3 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />