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':: Waste Tire Sl. ey & Inspection Rep I SURVEY REQUIRED' <br /> •�■!1. State of California <br /> ONVI CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> (� Inspection ( �7 1 <br /> Site f 1 —1 Report G. 1 <br /> Site Suffix: Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> �c� e,� Win-,ss;rc�c�•l:�v 't�' � �c��.w. e C' <br /> MC-C <br /> �Ms :\'. , <br /> - k �2 C?C214C e,,,S 1 Y\S p eC X-A- a V\ <br /> If <br /> IF XIA MJPJ �JEJ 111Z73 <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />