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'Waste Tire S�r <br /> i6ilzu <br /> ' ey & Inspection Ret SURVEY REQUIRED <br /> St ate of California CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details .w <br /> p <br /> Inspection r <br /> TPID- � <br /> Report I <br /> Site Suffix: 1 Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 't <br /> i,- C <br /> 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />