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Waste TireAvey & Inspection R aka )k SURVEY REQUIRED ■ <br /> State of California Comments Form <br /> CIWMB 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection xX _ <br /> Site Suffix: � ?j , 5 G� Report I 1 — 1 7- 4' 5- <br /> Number: / <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 31 t Cw l <br /> V 147 <br /> JE <br /> A MIP-1 LIEJ 1112131 <br /> 42408 <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />