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ka: :: Waste Tire Sl fey & Inspection Rep& SURVEY REQUIRED <br /> ••'a.. StateofCalifornia <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- O Inspection <br /> Site Suffix: a 3 - Report = 1 <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> 0zerrN1,n A.er_ rn 1A n4cst clr� <br /> UvUi l 2AA. --�Or Crv'. V j A 3 --mss y <br /> l t <br /> S _ A <br /> r <br /> CIS f �'f n r 0 Dn11^ Ate' - <br /> V <br /> Il: XIA MIDI LIEI I T I ?I3I42408 <br /> rr <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />