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_ Wastes Tire *ey & Inspection Re 't SURVEY REQUIRED <br /> !!!.L! State of Californi <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Inspection <br /> TPID- ) <br /> Report I ``1 <br /> S to Suffix: ) G - 0 1 cl <br /> Number: - - - <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> �c�el�.n d�►�� - <br /> 9 0 <br /> n <br /> �T :2408 <br /> E � � NIP LE 2n3 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br /> L <br />