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Waste Tire S#ey & Inspection Rept <br /> Sate of CalifornSURVEY REQUIRED <br /> CtIWMB183 (Newia 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> Site - O F Inspection _ <br /> Site Suffix: o ` Report I J\ <br /> 1 Number: I <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> - <br /> 7 71 <br /> �2 <br /> T <br /> t t <br /> IE XIA MIDI �IEI I 1 j ZI3I 42408 <br /> White <br /> White CoPY�CIWMB Yellow Copy:Operator Pink Copy:LEA <br />