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Waste Tire ' -rvey & Inspection Rf rt SURVEY REQUIRED ' <br /> Wii' • State of California <br /> CIWMB183 (New 04104) %,omments Form <br /> California Integrated Waste Management Board__ BLUE OR BLACK_ INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: t 3 7 i - d f Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> A413 or an2e� <br /> AL k C <br /> ?t-- Cani4rn? -7%�r <br /> 37-7--0z V <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy.LLA <br />