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::.Waste Tire Sl rey Inspection Rep i SURVEY REQUIRED J <br /> ----- <br /> •��'�• State of California <br /> CIWMB 183 (New 04104) Comments Form --- <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- 2 Inspection (� <br /> Site Suffix: J _1 Report 3 v <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> X25: 1 agT—D r \S <br /> `k <br /> r <br /> '3 ecs <br /> 42408 <br /> 1EXIAMIPILIE1 11125-1 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />