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■ dWaste Tire Sr ey & Inspection Rep SURVEY REQUIRED <br /> State 3183f(New Comments Form <br /> CIWMB 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK P E N <br /> Business Profile Inspection Details -_ <br /> TPID- Inspection <br /> Site Suffix: y (� /� - f Report I <br /> ` i' Number: U v <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Tp i/' <br /> 42408 <br /> 'EiXIAIMIPILIEI Ii 12T31 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />