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- Waste Tire S, /ey & Inspection Rer' tFS URVEY REQUIRED <br /> State of California <br /> CIWMB183 (New04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- U Inspection <br /> NZSite Suffix: <br /> ` ReportLi <br /> Z Number: O O <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> >� - i <br /> oce <br /> i <br /> W -0 - <br /> 2, VN 6, "'� e CCA <br /> LAS <br /> AV <br /> 5� �~ <br /> IE A M� L- IE' i— 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />