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Waste Tire Sfrvey & Inspection Report' SURVEY REQUIRED <br /> =�3a-�• State of California <br /> CIWMB183 (New 04/04) (Comments Form <br /> Callfomia Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPI ` Inspection <br /> Site - Report 1 <br /> Site Suffix: /�� l r <br /> V` 3: Z f <br /> Number: 1 I S <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> �-� A- <br /> ( 14 <br /> Av- <br /> IEXIAMIPILIEI 1112131 <br /> �-� <br /> --- <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />