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_ Waste Tire S&ey & Inspection Rept <br />State <br />�WMB 83California <br />(New 04104) Comments Form <br />California Integrated Waste Management Board <br />SURVEY REQUIRED <br />BLUE OR BLACK INK PEN <br />Business Profile <br />Inspection Details <br />- , _ <br />Site 7 3 0 0 <br />Site Suffix: <br />Inspection <br />Report 9 Z I — ' <br />I <br />Number: <br />Inspection Number on the associated Survey form (Page 1) <br />Comments <br />w <br />JVD cG�C�S <br />CnN 1�,\lC IC <br />1EXIAMIPILIE1 111Z7_31 <br />White Copy: CIWMB Yellow Copy: Operator Pink Copy: LEA <br />42408 <br />0 <br />