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■ ;AWaste Tire Inspection R SURVEY REQUIRE <br /> ■bi.6. is <br /> New 04/04) <br /> . 5tateofCalifNComments Form <br /> CIWMB 183 (Ne <br /> California Integrated Waste Management Board BLUE OR BLACK IIT PEN <br /> Business Profile Inspection Details <br /> TPID- - Inspection _ <br /> u hh Report = 1 5 <br /> Site Suffix: � 3 � V Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> U11�e '0 iT <br /> (kcc, e i��ctcrTG1�1�1��'t'D �,�1�,as1 —rte t Wa1'S <br /> �e.M W ul) CAIS S �1 J <br /> 1 <br /> Ovn& I,mc' ' "j t4AVAN� <br /> 42408 <br /> # i ' � III <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA ■ <br />