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AWaste Tire A-vey & Inspection RejOrt <br /> SURVEY REQUIRED <br /> ••"•! State of California <br /> CIWM8--- (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- l Inspection <br /> Site Suffix: \ g 1 Report 2 v 1 <br /> Number: .L <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> a, <br /> jeXjAMjPjLjEj Ill <br /> 42408 <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />