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,41Waste Tire S, tey & Inspection Reg I SURVEY REQUIRED <br /> •••"'` 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- 2 Inspection I ` _ I 3 O <br /> Site Suffix: 5 7 3 6 '� a ` Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> b's` <br /> V,Cllxl�z <br /> i>a-1 CA <br /> GM <br /> Ce_c�7,P�5 S r 3 1��eo-cAA r-eS <br /> Cko NVV IC2 \6A NA MF-> <br /> JE XIA MJPJ �Jej III --42408 1 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />