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Waste Tire SL my v Inspection Rep t SURVEY REQUIRED <br /> State of California Comments Form <br /> CIWMB 183 (New 04/04) <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- f / Q Inspection <br /> Site <br /> Site Suffix: Ill,1, �q Report I <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> i <br /> t <br /> � J � 41- <br /> l f C <br /> - - I <br /> Vmr <br /> Ux ry <br /> Q, S_ <br /> AD— �nc. G <br /> HI <br /> 42408 <br /> J_� IF " M <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />