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AWaste Tire Survey & Inspection Report SURVEY REQUIRED <br /> lII <br /> ■ L <br /> ,.a State of California —_I ■ <br /> 1 CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> --,siness Profile Inspection Details <br /> ID- - ` Inspection ` 7 <br /> Site Suffix: � 1 l - Report I 1 — 9 <br /> Number: 1 <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> o. <br /> ` 0.r--/ <br /> 1PILIE1 11� 42408 <br /> ■ <br /> ■ White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA ■ <br />