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LEWTV <br /> :Waste Tirejvey & Inspection SURVEY REQUIRED <br /> •'!! State of California <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 /> Site Suffix: �( �� 1 - Report I I - , Z J_ T� I <br /> Number: 1 <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Ly <br /> Gc.v� <br /> ;e <br /> ms's '514 <br /> 3� <br /> 42408 <br /> A PLEJ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />