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AWaste Tire S y & Inspection Rept SURVEY REQUIRED <br /> 6i■•+!• State of Californ <br /> ia <br /> aCIWMB183 (New 04104) Co ments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection <br /> Site Suffix: I .1 NReport <br /> umber: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 4Z Z-7 -- <br /> 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br /> -- <br />