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Waste Tire Su. ✓ey & Inspection Reps ILSURVEY REQUIRED <br /> Z��"•+: State of California <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Q-tsiness Profile Inspection Details <br /> ID- ® v I Inspection I _ <br /> Report I 1 D <br /> mite Suffix: Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> S., 5 CA, �51 tie.nte, S 1AY!!1r) (A <br /> sA n Lk <br /> CAC- 1 �Lje C� W t�S ( -U fly 1 fYlL <br /> on 51�u �h <br /> ��c, �o U� �� 1e <br /> cc) C, <br /> CAL(A QE <br /> 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />