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Waste Tire S, fey & Inspection Ret <br /> SURVEY REQUIRED <br /> •::�• State of Califomia <br /> CIWMB 183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPI <br /> Ins <br /> Site Suffix:- I 3 / - d Report 2 _ I I <br /> Site fj Re ort <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> c � <br /> Vv <br /> JE <br /> 42408 <br /> A t123 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />